A nurse is assessing a client's ECG strip and notes an irregular heart rate of 98/min with no clear P waves. Which of the following cardiac dysrhythmias should the nurse document?

A nurse is caring for a client who is mechanically ventilated and is agitated. The nurse notices the client attempts to reach the endotracheal tube. Which of the following actions should the nurse take?

For each client assessment finding below, click to specify if the finding is consistent with cirrhosis or viral hepatitis: Each finding may support more than one disease process

A nurse is caring for a client in the emergency department.

Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.

Day 1, 1100:

S: Client reports fatigue over the last several months. Client reports intermittent epigastric discomfort upon exertion. Client reports experiencing occasional nausea and heart palpitations.

B: Client is a 60-year-old female. History of smoking 1 pack per day for the past 30 years. Past medical history of type 2 diabetes mellitus, systemic lupus erythematosus, hypertension, and hyperlipidemia. The Father died at age 50 with coronary artery disease.

A: Alert and oriented to person, place, and time. Bilateral breath sounds clear and equal. Denies shortness of breath. Respirations are even and unlabored. S1, S2 auscultated. No abnormal heart sounds auscultated. Bowel sounds normoactive x4 quadrants. Abdomen nondistended and nontender. Peripheral pulses palpable 2+. Skin warm, dry, and pink. Client reports chest pain as 4 on a scale of 0 to 10

R: Suggest admitting to telemetry unit for further monitoring.

An emergency room nurse is assessing a client who has asthma and difficulty breathing. Which of the following findings should indicate to the nurse that the client is experiencing status asthmaticus?

A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

A nurse is assessing a client who has a new diagnosis of diabetes mellitus. The nurse should identify that which of the following findings is a manifestation of hyperglycemia?

A nurse is providing discharge teaching for the family of a client who had a tracheostomy inserted 2 months ago. Which of the following instructions should the nurse include?

A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone ointment. The nurse should assess the client to monitor for which of the following adverse effects?

A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the lips and fingers. The client's ABGS are: pH 7.48 (7.35 to 7.45), PaCO2 30 mm Hg (35 to 45 mm Hg), HCO3 24 mEq/L (21 to 28 mEq/L), PaO2 85 mm Hg (80 to 100 mm Hg). Which of the following acid- base imbalances should the nurse identify that the client is experiencing?

A nurse is planning care for an older adult client who has moderate Alzheimer's disease. Which of the following interventions should the nurse implement in the client's plan of care?