A 60-year-old female client with a 5-year history of diabetes mellitus type 2 visits her primary health care provider with report of an "itchy" skin rash that she has never had before. On inspection, the nurse notes that she has multiple raised reddened lesions of varying sizes located primarily on her legs and arms.

The client reports that her diet has not changed and that she feels embarrassed about her skin problem. The nurse documents her current medications:

• Glipizide 5 mg orally once daily with breakfast for diabetes mellitus type 2
• Furosemide 20 mg orally once every other day for hypertension
• Lovastatin 40 mg orally once daily for high cholesterol
• Duloxetine 60 mg orally once daily for clinical depression
• Trimethoprim/sulfamethoxazole DS 1 tablet every 12 hours for acute urinary tract infection

Choose the most likely options for the information missing from the statements below by selecting from the lists of options provided.

The nurse will instruct the client that she should not continue taking The nurse will instruct the client that she may not be able to continue taking ___________________ .

A patient received teaching about the correct procedure in a 24-hour urine collection for creatinine clearance test. Which statement by the client indicates a need for further teaching?

Polystyrene sulfonate (Kayexalate) is used in renal failure to:

A client is brought to the hospital because of severe abdominal pain, nausea, and vomiting. The client reports increased pain in the abdomen and in the epigastric region radiating to the back when lying supine. Upon physical assessment, the nurse finds that the client has fever and hypotension.

What should the nurse infer from these findings?

When a brain-injured patient responds to nail bed pressure with internal rotation, adduction, and flexion of the arms, how should the nurse report the response?

The nurse is assessing a patient with suspected neurological issues. The patient's speech is delivered with normal rhythm but filled with words that do not form any meaningful statements.

The patient is also unable to write or repeat back words and does not appear to understand the nurse's instructions or questions. The nurse would recognize these symptoms as:

Mr Ozz, a 45-year-old insulin-dependent diabetic, is admitted to the hospital with a diagnosis of pneumonia. He has been febrile since admission. His daily insulin requirement is 24 units of NPH. Every morning Albert is given NPH insulin at 0730. Meals are served at 0830, 1230, and 1830.

The nurse expects that the NPH insulin will reach its maximum effect (peak) between the hours of:

Your patient has complaints of severe right-sided flank pain, nausea, vomiting and restlessness. He appears slightly pale and is diaphoretic. Vital signs are BP 140/90 mmHg, Pulse 118 beats/min., respirations 33 breaths/minute, and temperature, 98.0F. Which subjective data supports a diagnosis of renal calculi?

A nurse is developing a plan of care for a client with a new diagnosis of Graves' disease.
Which of the following interventions does the nurse include in the plan of care?

The nurse is reviewing the patient lab and the following is shown on the CT: The nurse conclude the patient has :

A 60-year-old male client has been diagnosed with diabetes mellitus type 2 and chronic heart failure for many years, for which he takes hydrochlorothiazide (HCTZ), digoxin, and metformin. After his wife died last year, his health declined, and he was admitted to a local nursing home.

For the past 6 months, he has experienced cognitive decline, most likely due to hypoxia and/or multi-infarct dementia. The nurse referred the client to the registered dietitian nutritionist because of a 10-lb (4.5-kg) weight loss in 2 weeks, anorexia, and increasing blood glucose levels. The registered dietitian nutritionist prescribed oral supplemental feedings, and his metformin dose was increased by the primary health care provider. Today the charge nurse receives the client's latest lab work.

Based on the physical assessment findings, medical diagnoses, and lab test values, the nurse suspects that the client most likely has , which requires emergency management with