A nurse is caring for a client with a heart murmur due to mitral valve disease. Where would the nurse hear the murmur the loudest?

What clinical manifestation should the nurse assess for in a patient with uncontrolled diabetes mellitus and ketoacidosis?

The physician has just informed a patient that they have breast cancer and will require a mastectomy. The nurse finds that the patient is crying.
Which response by the nurse is most appropriate?

A newly diagnosed diabetic client is 24 hours post-op following abdominal surgery.
The 0700 blood glucose level is 200 mg/dl and the nurse administers 4 units of insulin aspart subcutaneously per the prescribed sliding scale.

When should the nurse first assess the client for signs and symptoms of hypoglycemia?

A client is receiving heparin sodium 1000 units per hour via an infusion and warfarin sodium 2.5 mg PO for thrombophlebitis in the left leg.
The nurse educates the client that heparin and warfarin are prescribed together because:

A nurse is preparing to administer a heparin infusion of 25,000 units in 250 mL of normal saline at a rate of 1000 units per hour for a client diagnosed with a Deep Vein Thrombosis (DVT). The client’s initial activated partial thromboplastin time (aPTT) value is 35 seconds.

Which laboratory result would indicate that the aPTT is at a therapeutic level?

Which client does the nurse recognize to have the greatest risk of an adverse reaction if prescribed potassium Penicillin G?

The client, on an intensified insulin regimen, consistently has a fasting blood glucose between 70 and 80 mg/dL, a postprandial blood glucose level below 200 mg/dL, and a hemoglobin A1c level of 5.5%. What is the nurse’s interpretation of these findings?

The nurse is educating a client who has been newly prescribed acarbose in addition to repaglinide for the treatment of Type 2 diabetes.
Which statement made by the client indicates that the teaching has been effective?

The nurse is caring for the following four clients on the nursing unit.
Which client is at the highest risk for the development of deep vein thrombosis?