The nurse is caring for a client in the post anesthesia care unit. The client asks for a bedpan and states to the nurse, “I feel like I need to go to the bathroom, but I can’t.” Which nursing intervention would be most appropriate?
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A client is scheduled for an abdominal surgery which will re…
A client is scheduled for an abdominal surgery which will result in a midline abdominal incision. Which topic is most important for the nurse to discuss in the preoperative period?
The nurse is caring for a client who has a severe rash and i…
The nurse is caring for a client who has a severe rash and itching from poison ivy in the lower legs. Which cell type is primarily responsible for this type of reaction?
The client receiving total parenteral nutrition (TPN) asks t…
The client receiving total parenteral nutrition (TPN) asks the nurse why blood glucose is being monitored since the client does not have diabetes. What is the best response by the nurse?
The nurse is caring for a client with a soft tissue injury….
The nurse is caring for a client with a soft tissue injury. The client asks why the site is so red. What is the best response by the nurse?
The nurse is caring for a client with a massive burn injury…
The nurse is caring for a client with a massive burn injury and possible hypovolemia. Which assessment data will be of most concern to the nurse?
A client had abdominal surgery last week. The client calls t…
A client had abdominal surgery last week. The client calls the office and says the wound is now draining thick yellow-green material that has a strange odor. How would the nurse document this drainage?
A client develops neutropenia after receiving chemotherapy….
A client develops neutropenia after receiving chemotherapy. Which information about ways to prevent infection will the nurse include in the teaching plan? (select all that apply)
The nurse is caring for a client with a history of binge dri…
The nurse is caring for a client with a history of binge drinking for several days. Assessment findings include respiratory rate 8 breaths per minute, decreased level of consciousness and tachycardia. The nurse expects arterial blood gas analysis to reveal which imbalance?
When caring for a client the first postoperative day after a…
When caring for a client the first postoperative day after abdominal surgery, the nurse obtains an oral temperature of 100.1° F. Which action would the nurse take first?