Take full exam for free

A nurse is caring for a client with Cushing's syndrome. Which assessment findings would the nurse expect? (Select all that apply.)

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

A nurse is caring for a client who has not voided for 8 hr following the removal of an indwelling urinary catheter. Which of the following actions should be the nurse take first?

A nurse is caring for a client who has a new arteriovenous (AV) graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft?

A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply.)

A nurse is caring for a client who has an acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)

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?

A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?

A nurse is caring for a client who has type 2 diabetes mellitus and notes the client is declining. Which of the following would indicate the client is in a hyperosmolar hyperglycemic state (HHS)?

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 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?