The nurse is assessing an older adult client in a long-term care facility after a fall. Which finding requires priority action?
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A pregnant client in the second trimester has a hemoglobin o…
A pregnant client in the second trimester has a hemoglobin of 10 g/dL. The client confirms fatigue, but otherwise feels fine. Which action by the nurse is the priority when providing care to this client?
You are caring for a client with a 3 day history of a gastro…
You are caring for a client with a 3 day history of a gastrointestinal symptoms. You have completed the cardiovascular assessment and the blood pressure is 100/58 and heart rate is 118. Which of the following assessment findings related to perfusion would be true?
The nurse is assessing a client, recently discharged from th…
The nurse is assessing a client, recently discharged from the hospital, with a surgical wound. Which observation indicates that care has been effective for this client?
A client in the assisted living care center tells the nurse…
A client in the assisted living care center tells the nurse about experiencing frequent constipation. The nurse inquires about the client’s diet. Which statement from the client would be of greatest concern for the nurse?
A client at 12 weeks gestation reports nausea, breast tender…
A client at 12 weeks gestation reports nausea, breast tenderness, and fatigue. The client’s partner states they “are tired of the constant complaining”. Which priority nursing diagnosis should the nurse address?
The nurse is performing an assessment on an older adult clie…
The nurse is performing an assessment on an older adult client. Which assessment data would indicate a potential complication based on knowledge of the normal aging process?
What are primary chemical mediators produced by the body to…
What are primary chemical mediators produced by the body to coordinate the inflammatory response? (select all that apply)
A client has a positive Chvostek sign. Which result would th…
A client has a positive Chvostek sign. Which result would the nurse expect when reviewing the laboratory report?
A client who was involved in a motor vehicle crash has had a…
A client who was involved in a motor vehicle crash has had a tracheostomy placed to allow for continued mechanical ventilation. How would the nurse interpret the following arterial blood gas results: pH 7.48 (7.35-7.45) CO2 32 mm Hg (35-45), and HCO3 25 mEq/L (22-26))?