The nurse is preparing to administer a client’s warfarin sodium 5 mg PO at 1900. Upon entering the client’s room, the nurse finds several large, new ecchymotic areas on the client’s extremities.

What should be the nurse’s initial action?

The nurse is caring for a client who is being evaluated for possible deep vein thrombosis of the right extremity. Which laboratory result is of most concern to the nurse?

The nurse is aware that a client taking an antibiotic that causes diarrhea should be taught about:

The nurse is evaluating the patient’s response to antibiotic therapy. Which data would indicate that the medication has been effective?

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?

The nurse is aware that the diagnostic level of a fasting blood glucose for a client with diabetes is:

A patient diagnosed with diabetes has severe peripheral neuropathy resulting in numbness and reduced sensation of the feet.
What intervention should the nurse teach the patient to prevent injury as a result of this complication?

The nurse is caring for a patient who had an above-the-knee amputation (AKA) five days ago.
The nurse notices a new foul odor coming from the incision, which is erythematous, tender, and warm to the touch. What is the priority nursing action in this situation?

The client has been receiving vancomycin 1 gram IV every 12 hours for 2 days.
What nursing actions are appropriate when administering this medication? (Select all that apply)

A client diagnosed with Raynaud’s disease is experiencing severe pain and spasms in the fingers and toes of their hands.
What advice should the nurse include in the discharge instructions for this client?