A nurse is reviewing the medical record of a client who is to undergo open heart surgery.

Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?

A nurse is assessing a client who has pericarditis.

In which of the following areas of the client's chest should the nurse place the stethoscope to best hear a pericardial friction rub? (You will find hot spots to select in the artwork below.

Select only the hot spot that corresponds to your answer.).

A nurse is assessing a client following the insertion of a central venous catheter.

Which of the following findings indicates a pneumothorax?

A nurse is teaching a client who has endometriosis about the adverse effects of leuprolide.

Which of the following manifestations should the nurse include in the teaching?

A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy?

A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia.

Which of the following assessment findings supports this suspicion?

A nurse is reviewing the medication list of a client who is being admitted with diabetes insipidus.

Which of the following medications places the client at an increased risk for developing diabetes insipidus?

A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact.

Which of the following interventions should the nurse include in the plan of care?

A nurse is providing teaching to a client and their partner about performing peritoneal dialysis at home.

When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?

A nurse is providing discharge teaching to a client following a modified left radical mastectomy with a breast expander.

Which of the following statements by the client indicates an understanding of the teaching?

A nurse finds a client in bed, unresponsive and breathing.

Which of the following actions should the nurse take first?