The nurse is assessing a client who is post-operative thyroidectomy. The nurse assessed breathing, vital signs, and for fullness at the incision site. What other essential clinical manifestation should the nurse look for when assessing a client who is post-operative a thyroidectomy?
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A client experiencing an altered level of consciousness is b…
A client experiencing an altered level of consciousness is brought to the Emergency Department (ED). The client’s med alert bracelet indicates they have type 1 diabetes. The client’s glucose level is 22 mg/dL. The nurse should anticipate administering which prescribed intervention?
A client newly diagnosed with diabetes is learning to admini…
A client newly diagnosed with diabetes is learning to administer insulin. They received 10 units of NPH and 12 units of rapid acting insulin each morning. Which of the following statements reflects the client’s understanding of the education?
The nurse is caring for a client with Cushing’s syndrome who…
The nurse is caring for a client with Cushing’s syndrome who is prescribed a dexamethasone suppression test. What instructions are important for the nurse to understand to implement for this test?
Which of the following is important to review with a client…
Which of the following is important to review with a client taking an antidepressant medication?
Prior to administering morning meds, a nurse is reviewing a…
Prior to administering morning meds, a nurse is reviewing a lab report that has just been posted. The patient’s Lithium blood level is 2.0 meq/L (The therapeutic level in this lab is 0.4 meq/L-1.2 meq/L). Which nursing intervention is most appropriate?
You are working on an eating disorders floor and are mentori…
You are working on an eating disorders floor and are mentoring a nurse who is new to the unit. Which of the following statements indicates a need for additional education regarding treatment of eating disorders?
A nurse is concerned about the functioning impact for a clie…
A nurse is concerned about the functioning impact for a client with ADHD. All of the following behavioral characteristics should be assessed for except:
Your client Mr. W has just been admitted to an acute care ps…
Your client Mr. W has just been admitted to an acute care psychiatric hospital and has been newly diagnosed with schizophrenia. He was found wandering into the street on E. Broad wearing a T-shirt, jeans and barefoot in 20 degree weather. The police brought him to the hospital. As you initially approach the client, he is walking alone down the hall saying, “I told you to leave me alone. I don’t care what you say I’m not going to do that”. His voice is loud and his fists are clenched. Which response would be most therapeutic as you approach him initially?
You are called in to the Emergency Department to meet with a…
You are called in to the Emergency Department to meet with a patient with anxiety. The patient is exhibiting the following symptoms: narrowed perceptual field, impaired problem solving, racing heart rate, dizziness, GI upset, and numbness/tingling in extremities. You identify that the patient is experiencing severe anxiety. Which of the following is an appropriate statement/action?