The nurse is caring for a client in the immediate postoperative period following a carotid endarterectomy. The client is drowsy with slurred speech. Which assessment finding would cause the nurse to notify the healthcare provider immediately?
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A nurse is assessing a client with suspected hypocalcemia. W…
A nurse is assessing a client with suspected hypocalcemia. Which assessment finding should the nurse expect?
A patient presents with burns covering the entire anterior t…
A patient presents with burns covering the entire anterior trunk and both lower extremities (anterior and posterior surfaces of both legs). Using the Rule of Nines, what is the estimated total body surface area (TBSA) burned?
A client comes to the emergency department with diplopia and…
A client comes to the emergency department with diplopia and recent onset of nausea. Which statement by the client would indicate to the nurse that this is an emergency?
A client with seizure disorder is prescribed a moderately hi…
A client with seizure disorder is prescribed a moderately high dose of phenytoin. Which teaching topic should the nurse discuss with this client?
An 82-year-old with HF is confused and weak. Na⁺ 124 mEq/L….
An 82-year-old with HF is confused and weak. Na⁺ 124 mEq/L. Prescription: fluid restriction 1,000 mL/day. Priority nursing action?
A nurse is caring for a patient who recently experienced a c…
A nurse is caring for a patient who recently experienced a cerebrovascular accident (CVA) and has dysphagia. Which nursing intervention is most appropriate to reduce the risk of aspiration during feeding?
A 70-kg adult sustains 40% total body surface area (TBSA) de…
A 70-kg adult sustains 40% total body surface area (TBSA) deep partial-thickness and full-thickness burns. The patient is being prepared for transfer to a burn ICU. The nurse begins calculating the initial 24-hour IV fluid requirement using the Parkland formula:How much Lactated Ringer’s solution should the nurse anticipate administering in the first 24 hours?
A nurse is teaching the parent of a child who has a new diag…
A nurse is teaching the parent of a child who has a new diagnosis of absence seizures. Which statement by the parent indicates understanding of the teaching?
The nurse is caring for a client experiencing autonomic dysr…
The nurse is caring for a client experiencing autonomic dysreflexia. What action should the nurse perform first?