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A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?

A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?

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?

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 reviewing a client's laboratory results and sees that their hemoglobin A1C is 9%. Which of the following statements from the nurse is appropriate?

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 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 reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?

A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. Which of the following information should the nurse plan to include in the teaching? (Select all that apply.)

A nurse is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the nurse expect to hear?

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?