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A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?

The nurse is caring for a client who is taking diclofenac for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review?

Following discharge teaching, a client with a duodenal ulcer tells the nurse of plans to eat plenty of dairy products to help coat and protect the duodenal ulcer. Which is the best follow-up action by the nurse?

Patient Data

History and Physical

The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4-years and a surgical repair of a fractured tibia at age 20.

Nurses' Notes

0815

Vital signs

• Temperature 97.5° F (36.4° C)

• Heart rate 104 beats/minute
• Respirations 29 breaths/minute
• Blood pressure 119/82 mm Hg
• Oxygen saturation 89% on room air

Oxygen mask applied.

0830

• Oxygen saturation 97% on 10 L/min oxygen via face mask

Orders

0800

• Admit to the medical floor

• Vital signs every 4 hours
• Continuous pulse oximetry
• Supplemental oxygen 10 L/min via nasal cannula
• Enalapril 10 mg PO every morning
• Ibuprofen 400 mg PO every 4 to 6 hours PRN for temperature greater than 100.5° F (38.0° C)
• Send blood for a complete blood count, electrolytes
• Chest x-ray now

0815

• Supplemental oxygen 10 L/min via simple face mask

Imaging Studies

Chest x-ray: Consolidation noted in the right middle and lower lobe consistent with pneumonia

Which actions can the nurse do to assist the client in improving their ventilation and oxygenation? Select all that apply.

A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?

. A teenage client is admitted to the emergency department following a bee sting. The client arrives with a body rash and 30 minutes later becomes short of breath. The nurse obtains the client's vital signs as a heart rate of 130 beats/minute, respirations of 40 breaths/minute, and a blood pressure of 90/52 mm Hg. The client is exhibiting clinical manifestations of which type of immune reaction?

A client who was admitted yesterday with bilateral pneumonia has congested breath sounds, an oxygen saturation of 94% on room air, and an oral temperature of 100° F (37.8° C). The client has a weak cough effort and is using accessory muscles to breathe. Which intervention should the nurse implement first?

A client who has had a laryngectomy and tracheostomy frequently expectorates copious amounts of purulent secretions. When changing the ties of the tracheostomy tube, which action is most important for the nurse to take?

A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?

Three days after a cholecystectomy for cholelithiasis, a female client reports having persistent upper abdominal pain that radiates to her back. She has vomited three times in the last 12 hours and has a temperature of 101.8° F. (38.7° C). Serum amylase and lipase are twice the normal value. Based on these findings, the nurse should observe the client for which pathophysiological condition?

While changing a client's postoperative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?