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A client is taking prednisone for several weeks due to an exacerbation of asthma. The nurse knows to educate the client to slowly taper down the dose of prednisone as prescribed to prevent what metabolic reaction from occurring?

The nurse caring for a client who has had bariatric surgery is developing a teaching plan regarding important dietary changes in anticipation of the client’s discharge. What is MOST essential information for the nurse to include in the educational session? 

The nurse caring for an insulin dependent client who returned to the unit following abdominal surgery. The PACU nurse reported there were no adverse events during and immediately after surgery. On initial assessment the client is still lethargic from the anesthesia and the pain medication they received in the PACU. The rest of the assessment was unremarkable. The nurse reassesses the client 30 minutes later. Which of the assessment findings would the nurse be MOST concerned with during this assessment? Select All That Apply.

A client has received news that they have pancreatic cancer and states, “I heard a commercial that the Cancer Center of North Carolina has the best cancer specialist. I am going to get a second opinion, because I do not have any risk factors for cancer.” The nurse understands this client is in what stage of grief? 

The nurse is caring for a client who has just returned to the unit following abdominal surgery. Which client signs and symptoms are considered postoperative complication(s)? Select All That Apply. 

A nurse is caring for a client that has a nasogastric tube attached to suction. The tube was inserted in the right nare. During the initial assessment the nurse finds that the client is lethargic, has dry mucous membranes and the BP is 102/64, RR 16. The nurse sees that the IV is running at 50mL/hr. What is the nurse’s MOST appropriate initial response?  

A nurse is preparing to discharge a client hospitalized for an exacerbation of chronic gastritis. What health prevention should the nurse emphasize when reviewing the client’s discharge instructions?

The nurse is assessing a client who has had diabetes for 20 years. The client states they have been experiencing a tingling sensation in their feet. The nurse understands the client is developing which complication of diabetes? 

The nurse is conducting an initial shift assessment on their client. Ceftriaxone is infusing at 50mL/hr. into a client’s right forearm. The nurse assesses the IV and notices that the peripheral IV site is edematous. The nurse palpates the site and finds the skin cool. How should the nurse document this complication of IV therapy? 

A 35-year-old male client arrives to the Emergency Department (ED) with symptoms of nausea and vomiting with intermittent abdominal cramping. CT scan is positive for small bowel obstruction. In collaboration with the primary care provider, what intervention should the nurse prioritize?