A nurse is caring for a 75-year-old male client who is experiencing difficulty breathing and shortness of breath.

Medical History: Nurses Notes: 75-year-old male who reports increased dyspnea for 4 days.
Denies cough or fever.

Past Medical History: Two pack a day smoker for 50 years.

Diagnosed with lung cancer 8 years ago and treated.
Over the last year has developed frequent pleural effusions treated with thoracentesis.

Hypertension.

Surgical History: Right lower lobectomy 4 years ago.

Left hernia repair 25 years ago.
Decreased lung sounds.

The nurse is caring for the client following a thoracentesis. (Select the 3 findings that require immediate follow-up.)

Increased heart rate.

Discomfort at the puncture site.

A nurse is monitoring a client following a thoracentesis.

The nurse should identify which of the following manifestations as a complication and contact the provider immediately?

A nurse is planning nutritional teaching for a client who is experiencing fatigue due to iron deficiency anemia.

Which of the following foods should the nurse recommend to the client?

A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions.

Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

A nurse on a cardiac care unit is caring for a preschooler.

• Hospital Day 1, 17:38: Medication Administration Record.
• 20:15: Received 4-year-old child with an exacerbation of heart failure.
• Family reports history of congenital mitral stenosis.
• Breath sounds with wheezing noted in bilateral lower lobes.
• Nonproductive cough noted.
• Dyspnea with respiratory rate 30/min.
• Oxygen at 2 L/min applied per nasal cannula.
• Telemetry applied: Sinus rhythm at rate 116/min. Abdomen soft, nontender.
• Bowel sounds positive in all 4 quadrants. Lower extremities with 2+ edema noted.
• Pedal pulses palpable bilaterally.
• Peripheral saline lock intact to right forearm with no signs and symptoms of infection.
• Weight 26 kg (44 lb). Increase in dyspnea noted with orthopnea.
• Nasal flaring with respiratory rate of 36/min.
• Lung sounds with wheezing noted throughout.
• Lower extremity edema 3+ to bilateral lower extremities.
• Extremities cool with decreased skin pigmentation noted.
• Peripheral pulses weak bilaterally.
• Jugular vein distention noted.
• Provider notified.

Received prescription for additional dose of furosemide. The client is at risk for developing:

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, “I can feel the congestion in my lungs, and I certainly cough a lot, but I can’t seem to bring anything up.”

Which of the following actions should the nurse take to help this client?

A nurse is planning care for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following manifestations is most appropriate for the nurse to monitor?

A nurse is providing teaching about iron deficiency anemia to the parents of a toddler.

Which of the following should the nurse recommend as a method of preventing iron deficiency anemia?

A nurse is providing teaching to a client who has atrial fibrillation and reports dizziness and palpitations. Which of the following should the nurse understand is the cause of these manifestations?

A nurse is providing postoperative care to a client who lost 800 mL of blood during surgery. The client’s blood pressure has been steadily decreasing over the past 2 hours.

Which of the following categories of shock should the nurse recognize is occurring?