During an admission assessment, a client reports currently using heroin. Which information is most important for the nurse to consider in the plan of care?

Patient Data

Click to highlight the notes that demonstrate a positive outcome.

The client is admitted to the hospital after her membranes rupture at 38 weeks gestation. A vaginal examination is done. The nurse determines that the client is 3 cm dilated, 40% effaced, and the fetal head is at -1 station. The external monitor snows that contractions are occurring every 4 minutes and lasting 70 seconds, and the nurse palpates the quality as strong. Her fasting blood glucose (FSBG) is 86 (4.8 mmol/L).

The client is transferred to the labor- delivery-recovery (LDR) suite. The client dilates quickly to 10 cm and feels a strong urge to push. The fetal heart rate is reassuring with a baseline of 145 and moderate variability. The nurse briefly reviews pushing techniques with her and her husband and notifies the obstetrician of the client's progress. After three cycles of open-glottis pushing, the baby's head is crowning. The head is born easily over an intact perineum. The infant weighs 9 lbs. 9 oz (4.34 kgs) and has an Apgar of 7 at 1 minute, then 9 at 5 minutes.

A client tells the nurse about beginning an exercise program a month ago to lose weight and improve sleep. The client states, "It still takes at least two hours to fall asleep at night." Which action should the nurse implement?

Patient Data

The nurse reviews the findings in the history and physical.

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The nurse recognizes that

A client arrives at a hurricane disaster medical area seeking treatment for diarrhea, Which source of contamination should the nurse consider when interviewing the client about exposure?

Patient Data

The nurse reviews the history and physical, the nurses' notes, and flow sheet to see what is causing the client's symptoms.

Click to highlight the findings that require follow-up.

A 70-year-old male visits his primary healthcare provider reporting an increase

in urinary urgency and frequency. The client reports that he has been waking 2 to 3 times at night needing to void. He reports that there have been 3 to 4 incidences of incontinence over the last 3 months, which has caused him to feel embarrassed. The client has a history of obesity and diabetes mellitus that is controlled with metformin 1,500 mg PO daily. Client reports a penile implant that was inserted 20 years ago and had no issues since then. Other medications include atorvastatin 20 mg PO daily for high cholesterol, a daily multivitamin, and 200 mg of ibuprofen PO 1 to 2 times a week for generalized aches and pains.

While taking vital signs, a critically ill male client grabs the nurse's hand and asks the nurse not to leave. What action is best for the nurse to take?

A young adult female presents at the emergency center with acute lower abdominal pain. Which assessment finding is most important for the nurse to report to the healthcare provider?