The nurse is caring for a client admitted with a diagnosis of Crohn's disease. When reviewing the client's most recent laboratory report, the nurse notes that the client's magnesium levels are low. The nurse should prioritize assessment for which health problem?

A nurse is assessing a client admitted with congestive heart failure (CHF). Which finding requires immediate intervention?

A client is admitted to the emergency department with reports of burning pain in the right leg and foot after walking two blocks, relieved by rest. The client now reports new aching pain at rest that awakens them at night. The pain increases when the leg is elevated and is relieved when placed in a dependent position. Which of the following findings is of greatest concern and requires immediate follow-up?

A male client is admitted with a comminuted fracture of the femur following a motor vehicle collision. Skeletal traction is applied to maintain alignment and reduce muscle spasms. Eight hours after traction is initiated, the nurse assesses the client and notes the following:

•    Complaints of severe leg pain despite IV morphine
•    Toes are cool to the touch
•    Foot is positioned at the end of the bed
•    Pin sites show no drainage
What is the nurse’s priority action?

A nurse is teaching self-care to a client with a newly applied cast to the right forearm. Which of the following findings should the client report to the healthcare provider immediately?

The nurse is assessing a client admitted with congestive heart failure (CHF). Which finding requires immediate intervention?

A client reporting reflux and regurgitation is subsequently diagnosed with a hiatal hernia. What will the nurse include when educating the client to alleviate discomfort from the reflux?

A nurse is teaching a client newly diagnosed with HIV about antiretroviral therapy (ART). Which of the following is the most appropriate nursing intervention to support long-term medication adherence?

A nurse is caring for a client on day 2 following a total hip replacement. The client is on bedrest except for physical therapy, and is receiving enoxaparin and intermittent pneumatic compression (IPC) devices. During assessment, the nurse notes the following:

•    Left calf is firm and tender to the touch
•    Mild swelling in the left lower leg compared to the right
•    No redness or bruising
•    Vital signs: T 98.6°F, HR 92, BP 130/84 mm Hg, RR 20, O₂ sat 97% on room air
Which action should the nurse take first?

A client is 2 days post–total hip replacement. Which activity, if observed by the nurse, requires immediate intervention?

The nurse is creating a plan of care for a client who will be undergoing abdominal surgery. Which intervention should the nurse implement as a first-line measure to minimize the risk of developing atelectasis?