A nurse is providing nutritional teaching to a client who is experiencing severe nausea due to gastroenteritis. Which of the following responses by the client indicates an understanding of the teaching?

A nurse is assessing a client 3 days following a hysterectomy. Which of the following findings should the nurse identify as an indication the client is developing a complication?

A nurse is caring for a client who is postpartum and reports difficulty voiding. Which of the following findings should indicate to the nurse that the client's ability to eliminate urine from the bladder is restored?

A nurse in an outpatient clinic is assessing a client who is pregnant for unsafe behaviors during pregnancy. Which of the following findings indicates a need for further evaluation?

A nurse is assessing a client who is experiencing Cushing's triad due to increased intracranial pressure. Which of the following findings should the nurse expect?

A nurse is planning care for a client who is to begin receiving hospice care. Which of the following interventions should the nurse include in the plan?

The nurse is caring for a client.

Highlight the findings that require immediate follow-up by the nurse

Client reports sudden onset of dyspnea and chest discomfort. Client transferred back to bed. Client is awake and orientated x4. Client states, "I just feel like something is really wrong."

Client is tachypneic and appears in distress. Crackles heard in bilateral lungs. S3 and S4 heart sounds noted. Bilateral pedal pulses are +1. Surgical site is dressed, dry, and intact.

Temperature 38.9° C (102° F)

Heart rate 112/min

Respiratory rate 34/min

Blood pressure 144/72 mm Hg

Oxygen saturation 92% on 2 L via nasal cannula

A nurse is caring for a client at an outpatient clinic.

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

Nurses' Notes

3 months ago:

Middle-aged client reports experiencing fatigue for longer than 4 months.

Reports struggling to remember things and feeling depressed. Intermittent hand tremors reported and sudden episodes of leg weakness during ambulation, causing a loss of balance and gait changes. Intermittent episodes of muscle spasms started about a month ago. Reports no falls. Average work week is 40 hr in their family-owned business but has had to reduce work to 20 hr a week during "episodes" lasting about 4 days when manifestations worsen significantly. These episodes occur about once a month.

Client has 20/20 vision, but reports experiencing double vision "a couple of times." Last bowel movement was 1 day ago. Voids without difficulty but reports a feeling of "squeezing or spasm" in the genitourinary area that has only occurred a few times. No blood noted in urine.

Height 162.6 cm (64 in)

Weight 77.6 kg (171.1 lb)

BMI 29.3

Vital Signs

3 months ago:

Temperature 36.7° C (98.1° F)

Heart rate 84/min

Respiratory rate 16/min

Blood pressure 124/82 mm Hg

Oxygen saturation 97% on room air

A nurse is caring for a school-age child who is receiving a continuous IV infusion through the right antecubital vein. Which of the following findings should the nurse recognize as a complication of IV therapy?

A nurse is caring for a client.

For each assessment finding, click to specify if the finding is consistent with ulcerative colitis, diverticulitis, or Crohn's disease. Each finding may support more than 1 disease process.

A nurse is caring for an infant who received a cheiloplasty. Which of the following interprofessional team members should the nurse recommend the parents collaborate with?