The nurse has entered the room of a client with advanced cirrhosis who is lying on the floor. The client states they fell transferring to the commode. There is no change to the client’s vital signs. No apparent injuries were present during the initial assessment. What understanding of advance cirrhosis would cause the nurse to call the HCP?
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The nurse is caring for a client who is being treated in the…
The nurse is caring for a client who is being treated in the hospital for severe lower back pain related to osteoporosis. Which independent nursing intervention should the nurse implement?
The nurse is preparing to insert a nasogastric tube into the…
The nurse is preparing to insert a nasogastric tube into the client’s left nare. How should the nurse best determine the correct length of the nasogastric tube?
The nurse educator is educating a group of nursing students…
The nurse educator is educating a group of nursing students about the risk of contracting Hepatitis. Which preventive measure(s) should the nurse identify during the education session? SELECT ALL THAT APPLY.
The nurse is caring for a client with a fractured left humer…
The nurse is caring for a client with a fractured left humerus. The client had an open reduction repair of the fracture yesterday. Which data warrants an intervention by the nurse?
The nurse is assessing an elderly client who is recovering a…
The nurse is assessing an elderly client who is recovering after closed reduction repair of a femur fracture. The client is reporting chest pain. The nurse notes the client has an increase in heart and respiratory rate, temperature is 99.0, hypoxic, has crackles in the right lung and is hypoxic. The nurse recognizes that this is a medical emergency. Which complication does the nurse suspect the client is experiencing?
A client who has had osteoarthritis for 7 years comes into…
A client who has had osteoarthritis for 7 years comes into the clinic. The client has tried multiple medical and alternative treatments with minimal relief to their joint pain. Which psychosocial problem should the nurse understand the client is at risk for?
A client with cancer of the tongue has had a radical neck di…
A client with cancer of the tongue has had a radical neck dissection. What immediate post operative nursing assessment would be a PRIORITY for this client?
The nurse is caring for a client following a total knee arth…
The nurse is caring for a client following a total knee arthroplasty. Which statement by the client BEST demonstrates understanding of post-op care at home?
The home care nurse is conducting follow-up visits to a grou…
The home care nurse is conducting follow-up visits to a group of clients. Which client should the nurse recognize as being at the highest risk for developing osteomyelitis?