A nurse is caring for a client who is experiencing an exacerbation of heart failure.

Findings upon admission:

The nurse is assessing the client 24 hr later. How should the nurse interpret the findings related to the diagnosis of heart failure?

A nurse is caring for a client who has chronic kidney failure. The client received hemodialysis 1 hr ago. The nurse should identify that which of the following findings is a manifestation of a complication related to the procedure?

A nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which of the following findings indicates the client is experiencing fluid volume overload?

A nurse is reviewing providers' prescriptions for four clients. Which of the following prescriptions should the nurse verify with the provider?

A nurse is assessing a client who is receiving radiation therapy to the head and neck. Which of the following findings should the nurse expect?

A nurse in a medical clinic is caring for a client.

Click to highlight the findings that the nurse should report to the provider. To deselect a finding, click on the finding again.

Nurses' Notes

2 weeks ago, 0940:

Client presents to clinic with reports of feeling unwell for the past few weeks. Client states, "I have a sore that won't get better on my right foot." Client removed gauze bandage to reveal open wound 3 cm x 4 cm on right foot; draining small amount of purulent drainage. Client awake and alert; chest clear to auscultation; heart tones audible with no abnormal heart tones heard. Client reports frequent urination, increased thirst, and recent 4.5 kg (10 lb) weight loss without trying. Client denies pain but reports experiencing nausea. BMI is 27.

Vital Signs

2 weeks ago, 0945:

Temperature 38.3° C (100.9°F)

Heart rate 104/min

Respiratory rate 18/min

Blood pressure 98/74 mm Hg

Oxygen saturation 97% on room air

Laboratory Results

2 weeks ago 1020:

WBC count 9,500/mm3 (5,000 to 10,000/mm3)

Blood glucose 250 mg/dL (74 to 106 mg/dL)

Triiodothyronine (T3) 200 mg/dL (70 to 205 mg/dL)

The nurse is reviewing the client's medical record.

A nurse is reviewing the client's diagnostic results and vital signs. Which of the following actions should the nurse take? Select all that apply.

A charge nurse is called to a client's room after a staff nurse reports a client has had a wound evisceration. Which of the following actions should the charge nurse take?

A nurse in a health clinic is caring for a client.

Select 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is at risk for developing

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

For each client's finding, click to specify if the assessment finding is consistent with sickle cell disease, iron deficiency anemia, and/or pernicious anemia. Each finding may support more than 1 disease process.

The nurse is caring for the client who has iron deficiency anemia.

Which of the following statements indicate the client understands the instructions? Select the 3 statements that apply.