Patient Data

Exhibits

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress,

The nurse reviews the nurse's notes and flow chart to identify trends.

Click to specify the notations that require immediate follow up (more than one notation may be correct.)

Body System

Circulatory

• Heart rate 96 beats/minute
• Blood pressure 90/62 mm Hg
• IV infusing at 125 ml/hr
• Respirations 16 breaths/minute

Respiratory

• Oxygen saturation of 89%
• Several deep breaths

Integumentary

• Episiotomy intact with no redness
• Pad is saturated with blood
• 18 gauge IV to left forearm

Genital/Urinary

• Boggy fundus 1 cm above umbilicus
• Fundus rotated to the right
• Voided 200 mL of clear yellow urine

The nurse begins client education and asks the client what potential asthma triggers may have been involved in her recent exacerbation.

For each statement click to specify if the client has an understanding or no understanding of asthma triggers. Each row must have one option selected.

Which instruction should the nurse provide to a client who is preparing to have a cystoscopy?

A newly hired unlicensed assistive personnel (UAP) is assigned to a home healthcare team along with two experienced UAPS. Which intervention should the home health nurse implement to ensure adequate care for all clients?

The nurse is caring for four clients:

• Client A, who has emphysema and whose oxygen saturation is 94% on room air;
• Client B, with a postoperative hemoglobin of 8.2 mg/dL (82 g/L);
• Client C, newly admitted with a potassium level of 3.8 mEq/L (3.8 mmol/L);
• Client D, scheduled for an appendectomy who has a white blood cell (WBC) count of 14,000 mm3 (14 x 109/L).

Which intervention should the nurse implement?Reference Range:

• Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
• Potassium [3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)]
• White Blood Cell [5,000 to 10,000/mm3 (5 to 10 x 109/L)]

While changing a client's postoperative dressing, the nurse observes purulent drainage at the site. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?