A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? A.“I’ll be glad when I can stop taking this medicine.” B.“I have made an appointment to see my dentist next week.” C.“I will […]

A nurse is caring for a 73-year-old client in the emergency department (ED) ExhibitsIt has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications?A.Insert a nasogastric (NG) tube. B.Type and cross-match for 2 units of packed

A nurse is providing teaching to an older adult client who has a seizure disorder and a new prescription for phenytoin. Which of the following instructions should the nurse include? A.“Plan to take this medication with food.” B.“Plan to take this medication with antacids.” C.“Limit foods that contain vitamin D while taking this medication.” D.“Limit

A client is admitted to the postpartum unit and tells the nurse she had rheumatic fever as a child, which resulted in some “heart damage.” The nurse knows that this client is at particular risk for developing heart failure during the immediate postpartum period. Based on this client’s history, which nursing problem has the highest

Shia looked up from his monitor, rubbed his eyes, and stared down the dark hallway toward the CFO’s office. He was certain a sound had come from behind the closed door. It was a heavy thump, like someone had dropped a bowling ball. There shouldn’t be anyone else here at this hour, Shia thought to

A client with known heart failure presents to the clinic with worsening pulmonary edema. Which symptom should the nurse expect the client to report as a common manifestation of pulmonary edema related to heart failure?A.Nausea and vomiting B.Orthopnea (difficulty breathing when lying flat) C.Excessive sweating and diaphoresis D.Sharp, stabbing chest pain The Correct answer and

A nurse is assessing a client with congestive heart failure. Which finding indicates possible fluid accumulation in the lungs, a common symptom of CHF?A.Wheezing on auscultation B.Hyperactive bowel sounds C.Absence of jugular vein distention D.Crackles on auscultation The Correct answer and Explanation is: The correct answer is D. Crackles on auscultation. Congestive heart failure (CHF)

A client is admitted with dehydration and hypokalemia.Which of the following signs and symptoms would the nurse expect to find (Select all that apply). A.Muscle weakness. B.Constipation. C.Hyperreflexia. D.Cardiac dysrhythmias. E.Nausea and vomiting. The correct answer and Explanation is : The correct answers for the signs and symptoms a nurse would expect to find in

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia? A.Blood pressure 160/115 B.Anasarca C.Proteinuria 3+ D.Deep tendon reflexes The

A prescription for Methylergonovine 0.2mg IM has been ordered for a client in stage three of labor who is experiencing a hemorrhage.Using the information from the medical chart below, why is this medication contraindicated for this patient? Patient – J.L. DOB – 4/2/1990.Allergies – Penicillin.G-5 T-4 P-0 A-0 L-4. Vital Signs – T-98.6°F P-128 R-22