A nurse is caring for a toddler admitted to the hospital.

Exhibits

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Body Systems	Findings
Respiratory	Respiratory rate 26/min
Cardiovascular	Heart rate 112/min Capillary refill 4 seconds
Gastrointestinal	Hyperactive bowel sounds
Integumentary	Diaper area reddened with erythema noted Extremities cool Reports no tears
Neurologic	Lethargic

A nurse is caring for a client.

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Nurses' Notes

0900:

Client who is at 38 weeks of gestation presents to the antepartum unit with uterine contractions, dark red vaginal bleeding, and abdominal pain that started approximately 45 min prior to arrival. Rates abdominal pain a 7 on a scale of 0 to 10. Client reports, "My blood pressure has been high during the pregnancy."

Home Medications: prenatal multivitamin, methyldopa 250 mg PO twice daily Physical Exam:

General: tearful, anxious

Cardiovascular: S1, S2, no murmur

Respiratory: bilateral breath sounds clear

Abdomen: Uterine hypertonicity with a board-like abdomen, tenderness noted upon palpation of left upper quadrant

FHR: 116/min, minimal variability noted

A nurse is planning to delegate the fasting blood glucose testing for a client who has diabetes mellitus to an assistive personnel (AP). Which of the following actions should the nurse take?

A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?

A nurse is admitting a client to a medical-surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take?

A nurse is caring for an older adult client.

Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again

A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?

A nurse is caring for a neonate in the neonatal intensive care unit.

The nurse is reviewing the neonate's electronic medical record.

Drag words from the choices below to fill in each blank in the following sentence.

Following discontinuation of feedings, the nurse should monitor for

A home nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan monitor?

A nurse is teaching a client who is trying to conceive. Which adolescent client. The nurse should expect the adolescent to be in which of the a neural tube defect?

A nurse working in the emergency department (ED) is admitting a client.

Click to highlight the findings that indicate the client is progressing in their plan of care. To deselect a finding, click on the finding again.

To deselect a finding, click on the finding again.

Nurses' Notes

Day 4, 1030:

Client states, "It is easier to breathe and I'm not as short of breath." Lung sounds still diminished with crackles. No wheezes detected. Client is on oxygen at 1 U/min via nasal cannula and oxygen saturation is 92%. Client reports pleuritic chest pain as 3 on a scale of 0 to 10. Cough is productive and sputum is yellow. Drinking 2 L per day. Voided 200 ml of clear yellow urine.