Take full exam for free

A nurse is caring for a client who is undergoing initial peritoneal dialysis. Which of the following should the nurse report immediately to the provider?

A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication?

The nurse assessing a client hospitalized with a diagnosis of hypoparathyroidism notes positive Trousseau's and Chvostek's signs. The nurse determines that these findings most indicate which electrolyte imbalance?

1. A nurse is caring for a client receiving hemodialysis.

Nurses' Notes

Day 1:

1000:

Client alert and oriented x3. Lung fields clear, heart rhythm regular bowel sounds normoactive x4; ate 75% of morning meal. Denies pain. Left forearm arteriovenous (AV) fistula, skin warm, brachial and radial pulses 2+

1600:

Client returned from dialysis, lethargic, not hungry, tried to eat a few crackers but vomited them up. Capillary blood glucose 134 mg/dL. AV fistula site skin warm, bruit and thrill noted, brachial and radial pulses palpable.

Day 2:

0700:

Client reports not sleeping well last night; capillary blood glucose 75 mg/dL; crackles in left lower lobe: unproductive cough: AV fistula site ecchymotic, warm, bruit and thrill noted. Oriented to person, place, and time.

Vital Signs

Day 1:

1000:

Temperature 36.3°C (97.3°F)

Heart rate 70/min

Respiratory rate 16/min

Blood pressure 144/72 mm Hg

Oxygen saturation 94% on room air

Weight 90 kg (198 lb)

1600:

Temperature 37.1 °C (98.7°F)

Heart rate 62/min

Respiratory rate 16/min

Blood pressure 112/54 mm Hg

Oxygen saturation 95% on room air

Day 2:

0700:

Temperature 36.7°C (98.1°F)

Heart rate 62/min

Respiratory rate 12/min

Blood pressure 118/52 mmHg

Oxygen saturation 95% on room air

Weight 86.4 kg (190)

Medical History

Client has a history of type 2 diabetes mellitus, and hemodialysis with Arteriovenous fistula.

A nurse is caring for a client who has received hemodialysis. Which of the following assessment findings require follow-up?

A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching?

A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?

A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which of the following actions should the nurse take?

A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?

A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?