A nurse is caring for a client on a medical-surgical unit who has heart failure.

Exhibits

Complete the following sentence by using the lists of options.

The nurse should assess the client

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followed by the client

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A nurse is caring for a client who received epidural anesthesia during hip surgery. Which of the following manifestations should the nurse monitor as an adverse reaction?

A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following findings should the nurse identify as an indicati- of hypokalemia?

A nurse is providing teaching to a client who is prescribed subcutaneous enoxaparin. Which of the following information should the nurse include in the teaching?

A nurse is assessing a client who has Graves' disease and is taking methimazole. Which of the following findings indicates the client needs a lower dose of the medication?

A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take?

A nurse in a provider's office is caring for a client.

Click to highlight the findings from the current visit that indicate an improvement in the client's condition. To deselect a finding, click on the finding again.

Nurses' Notes

Current visit:

Client here for follow-up visit. Was seen 1 week ago for worsening manifestations of heart failure. +1 nonpitting edema noted to feet and ankles. Client reports shortness of air improved and only occurs with significant exertion. Also states has more energy and is sleeping better. Client does report episodes of nausea and decreased appetite. Also states has had occasional dizziness. Today's weight is 78.9 kg (174 lb).

A nurse is evaluating a return demonstration of enoxaparin administration by a client. Which of the following client actions indicates an understanding of the teaching?

A nurse is preparing to administer dextrose 5% in water 350 mL IV to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?

A nurse is preparing to administer a dose of ampicillin to a client. The nurse scans the medication and the client's identification band and realizes the client has a penicillin allergy. Which of the following should the nurse use to document the incident?