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

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?

An older female client is hospitalized with a fractured femur. During a routine nursing assessment, she repeatedly asks the nurse to "speak up" so that she can hear the questions. Which action is best for the nurse to take?

A client is being cared for in the emergency department with acute abdominal pain and a provisional diagnosis of pancreatitis. The nurse assesses the client and obtains the results from laboratory studies. Which information is most valuable in reporting the client's status to the healthcare provider?

To assess the quality of an adult client's pain, which approach should the nurse use?

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

Which prescriptions would the nurse question? Select all that apply.

The nurse is caring for a client who has been admitted with a diagnosis of esophageal cancer. The client reports a pain level of 8 on a 0 to 10 pain scale, dysphagia, anorexia, anxiety, and a hoarse voice. Which nursing problem is the priority for this client?

A client has a nasogastric (NG) tube placed during abdominal surgery. During postoperative convalescence, the nurse identifies that the client is manifesting a hand tremor, muscle twitching, and confusion. Which arterial blood gas values are consistent with metabolic alkalosis that the nurse should report to the healthcare provider?

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?

When performing postural drainage on a client with chronic obstructive pulmonary disease (COPD), which approach should the nurse use?

The nurse is preparing a teaching plan for a group of well-educated clients who were found to be HIV positive within the last year. Members of the group express an interest in learning about the pathology of the AIDS virus. The nurse should explain that the human Immunodeficiency virus (HIV) acts in which way to suppress the immune system?