Patient Data.

Exhibits

What are the signs and symptoms of DKA? Select all that apply.

A client who received an open reduction and internal fixation (ORIF) of the right femur after experiencing a fall at home experiences a sudden onset of increasing confusion and agitation.
When reporting to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?

The nurse is planning discharge instructions for a client with type 2 diabetes who will be starting exenatide.
Which information should be included in the discharge instructions?

A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?

A 70-year-old female presents to the emergency department triage with a noticeable facial droop and garbled speech. After having a few drinks at a local seafood restaurant, the client’s husband noticed his wife’s speech became difficult to understand.

The triage nurse does a rapid assessment of the client.

Select one condition and one client finding to complete the sentence(s). Based on the collected data, the nurse recognizes that the client is most likely exhibiting signs of

A nurse is providing interventions for a client with panic disorder.
Which interventions should the nurse include in the plan of care? (Select all that apply).

A client is diagnosed with influenza A and is prescribed oseltamivir.
Which of the following statements by the client indicates a need for further education?

The nurse is caring for a client who has been admitted with recurring migraine headaches.
To assess the quality of the client's pain experienced from the migraine headache, which approach should the nurse use?

A nurse is reviewing the laboratory results of a client who is receiving intravenous unfractionated heparin.

The nurse notes that the client’s activated partial thromboplastin time (aPTT) is 120 seconds.

What are the appropriate nursing actions in this situation? Select all that apply.

The client is a 29-year-old with a history of type 1 diabetes from the age of 6. She controls her blood glucose with an insulin pump and uses a continuous glucose monitor.

The client was out of town, and her insulin pump was damaged.

She had forgotten her back-up long-acting insulin at home, so she took the 6-hour drive home.

By the time she arrived at home, she was having nausea and vomiting.

Her blood glucose meter read over 500 mg/dL (27.8 mmol/L). She took a dose of insulin glargine and took herself to the emergency room.

The nurse is drawing an arterial blood gas to evaluate the client post treatment.

Complete the following sentence by choosing from the lists of options.

A pH level of

Patient Data.

Which order would the nurse question? Select all that apply.