Exhibits

The nurse has provided discharge teaching to the client to manage his chest pain at home. Which 2 statements from the client should the nurse recognize as a need for further education?

The nurse has provided discharge teaching to the client to manage his chest pain at home. Which 2 statements from the client should the nurse recognize as a need for further education?

A client with edema receives a prescription for a one time dose of furosemide 20 mg IV. The medication is available in a 10 mg/mL vial. How many mL should the nurse administer? (Enter numerical value only.)

The nurse is developing a plan of care for a client with type 2 diabetes mellitus (DM). When providing teaching on lowering blood glucose levels and increasing serum high-density lipoprotein (HDL) levels, which instruction should the nurse include?

The parent of an adolescent tells the clinic nurse, "My child has athlete's feet. I have been applying triple antibiotic ointment for two days, but there has been no improvement." Which instruction should the nurse provide?

For each client activity, click to indicate whether the activity shows positive or negative health promotion postamputation due to extensive peripheral vascular disease. Each row must have one option response selected.

Highlight the assessment findings that require follow-up by the nurse.

The client is postoperative below-the-knee amputation right leg day 3. He is sitting up with his left leg and right leg residual limb hanging off the bed. There is client-controlled analgesia (PCA) of morphine on demand in the left hand area; there is no redness at the site with 0.9% sodium chloride infusing at 50 mL an hour.

General: Alert, oriented to person, place, and time.

Eyes Pupils round, reactive to light and accommodation (PERRLA).

Lungs: Lungs clear all lobes.

Heart Telemetry monitor displaying sinus rhythm (SR).

Abdomen: Abdomen soft, bowel sounds in all 4 quadrants. Denies pain with urination and describes urine as light yellow.

Right leg: Right leg incision is open to air skin to the area is cool to touch and edema noted along the incision. Sutures intact, no redness noted, popliteal pulses strong bilaterally and wound drain with approximately 100 ml of drainage present on right leg. Reports pain is a 2 on a 0 to 10 scale, right residual limb area.

Left leg 2+ pedal pulse loss of hair on the lower leg, skin is dry, scaly, cool to touch, thickened toe nails noted, and capillary refill is greater than 4 seconds

A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse review?

Two hours before a client's scheduled surgery, the nurse is completing the preoperative checklist. Which information requires Immediate action by the nurse?

Reference Range:

Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)]

The nurse is developing a plan of care for a client who reports blurred vision and who is newly diagnosed with type 2 diabetes mellitus (DM). Which outcome should the nurse include in the plan of care for this client?

Reference Range:

Glycosylated hemoglobin (A1C) [Good diabetic control: less than 7%

While performing a neurovascular assessment distal to a client's fracture site, the nurse determines that the client's pulse is present, regular, and full force. Which nursing action should be taken next?