A client who is confined to a wheelchair as a result of a motorcycle accident is unable to feel pain or pressure from the waist down. Which finding provides the nurse with the earliest indication that the client is developing a pressure ulcer?

A client with Addison's disease becomes weak, confused, and dehydrated following the onset of an acute viral infection. The client's laboratory values include a sodium of 129 mEq/L (129 mmol/L), a glucose of 54 mg/dL (2.97 mmol/L), and a potassium of 5.3 mEq/L (5.3 mmol/L). When reporting the findings to the healthcare provider, the nurse anticipates a prescription for which intravenous medication?
Reference Range:
Sodium [136 to 145 mEq/L (136 to 145 mmol/L)],
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)],
Potassium [3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)]

Which nursing responsibility is related to health promotion and teaching for the client with rheumatoid arthritis?

A client experiencing recurrent episodes of depression expresses a desire to discontinue the prescribed antidepressant medication. The client reports feeling less depressed after taking the medication for the past few weeks but dislikes the side effects. What is the best response for the nurse to provide?

An older adult client arrives at the clinic describing a new onset of urinary incontinence. Which intervention should the nurse implement?

Patient Data:

Review H and P and laboratory results.

Based on the laboratory data, the client has

While conducting a physical assessment, a client with cirrhosis of the liver reports to the nurse having had a 5 lb (2.3 kg) weight gain within the last week. Which assessment finding correlates with the client's comment?

A client with bladder cancer had surgical placement of a ureter ileostomy (ileal conduit) yesterday. Which postoperative assessment finding should the nurse report to the healthcare provider immediately?

Patient Data

Based on the results of the echocardiogram, the physician has decided to repair the ventricular septal defect via cardiac catheterization. What should the nurse’s focused assessment include before the cardiac catheterization? Select all that apply.

Patient Data

The nurse reviews the client data.

What increases the client's chance for positive outcomes after the completion of the bariatric surgery? Select all that apply.

A client with 50% full-thickness burns has received fluid resuscitation for the past 24 hours. Which assessment warrants immediate intervention by the nurse?