A nurse is caring for an 84-year-old male client in the medical unit.

The client was admitted from a provider’s office with complaints of fatigue, dizziness, and shortness of breath. The nurse reviews the client’s medical records to prepare the client’s plan of care.

Exhibits

The client demonstrates mild orthostatic hypotension, with a drop in blood pressure upon standing.

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.

A nurse is working with a licensed practical nurse (LPN) to care for a client who is receiving a continuous IV infusion. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site?

A nurse is instructing a client who has GERD about positions that can help minimize the effects of reflux during sleep. Which of the following statements indicates to the nurse that the client understands the instructions?

A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?

A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation.
The nurse should understand that the JP drain was placed for which of the following purposes?

A nurse is talking with a client who has cholelithiasis and is about to undergo an oral cholangiogram. Which of the following client statements indicates to the nurse understanding of the procedure?

The nurse reviews a primary health care provider’s prescriptions and notes that a topical nitrate is prescribed. The nurse notes that acetaminophen is prescribed to be administered before the nitrate.
The nurse implements the prescription with which understanding about why acetaminophen is prescribed?

A nurse is providing teaching to a group of clients. Which of the following clients is at risk for developing peripheral arterial disease?

The nurse is assigned to care for a client who is 2 days postoperative after an above-the-knee amputation of the right leg.
The nurse plans to implement which measure to prevent hip contractures?

A nurse is planning care for a client who has pernicious anemia. Which of the following interventions should the nurse plan to implement?

A nurse is monitoring the fluid replacement of a client who has sustained burns.
The nurse should administer which of the following fluids in the first 24 hours following a burn injury?