A nurse is caring for a client who has acute kidney injury and a potassium level of 6.5 mEq/L (3.5 to 5 mEq/L). Which of the following electrocardiogram (ECG) changes should the nurse expect?

A nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse implement to decrease the client's risk for ventilator-associated pneumonia (VAP)? (Select all that apply.)

A nurse is caring for a client at the endocrinologist's office.

The client sees the diabetic nurse educator. Click to highlight the findings that indicate an understanding of the diabetic foot care education the client received. To deselect a finding, click on the finding again.

"I understand that I need to inspect my feet daily. I will dry my feet thoroughly when I get out of the shower. It is important to apply lotion to my feet and especially my toes to keep my skin in good health. That will prevent any sores on my feet. I will be very careful when I cut my toenails and will be sure to cut them straight across and then file the edges with an emery board. I will wear closed toed shoes. I am glad I can still go barefoot in the house because I never wear shoes at home. If I have any foot sores or corns come up, I will see my doctor or go to a podiatrist instead of treating it myself."

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 assessing a client's understanding of a surgical procedure prior to witnessing their signature on the informed consent form. The nurse determines that the client does not understand what the procedure will involve. Which of the following actions should the nurse take?

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.

A nurse is monitoring a client following a lumbar laminectomy. The client has a drain and indwelling urinary catheter. The nurse should identify which of the following findings as an indication of a complication of the surgery?

A nurse is providing teaching to a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is providing teaching about health promotion activities for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who is postoperative following a thoracotomy with lung resection 24 hr ago.

Complete the following sentence by using the lists of options.

The client is at highest risk for developing

A nurse is assessing a client who has tuberculosis and recently began taking ethambutol. The nurse should identify which of the following findings as an adverse effect of this medication?