The nurse is giving discharge instructions to a patient on the medical-surgical unit. Which patient should be taught about the possibility of an overwhelming infection?

A nurse is collecting data from a client who has leukemia. Which of the following findings has the highest priority?

A nurse is caring for a client who is 3 days postoperative following a cholecystectomy.

The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found?

A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?

The nurse is giving discharge instructions to a patient on the medical-surgical unit. Which patient should be taught about the possibility of an overwhelming infection?

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

A nurse is collecting data from a client who is African American has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

The nurse is caring for a patient with kidney stones. Which intervention should the nurse implement?

What discharge teaching is most important to help the patient who has had a splenectomy prevent infection?

The nurse is reviewing a patient's electrocardiogram (ECG) tracing. Which of the following are characteristics of normal sinus rhythm (NSR?

The nurse is caring for a 32-year-old female patient coming to the clinic with peripheral edema, periorbital edema and flank pain. Use the chart to answer the questions

History & Assessments

Medical/Surgical history: Systemic lupus erythematosus (SLE) x12 years. controlled with glucocorticoids, diabetes mellitus x2 years, recurring urinary tract infections (UTIs).

Surgical history includes C-sections x2. Mitral valve regurgitation for 2 years.

Social History: Married with two healthy children, Works full-time as an office manager. Denies use of alcohol, drugs, or tobacco.

Family History: Mother also had SLE died at age 55 from complications of renal failure. Father is alive and healthy.

Physical Assessment: Alert and oriented, moves all extremities, grips and pushes strong, PERRLA 3 mm. Lungs with crackles, bilaterally, no shortness of breath. 51, 52 heart sounds with murmur: 3+ radial and pedal pulses: 4+ edema of the lower legs, ankles and feet: 2+ edema of the fingers and hands: periorbital edema present. Pain with percussion of the costovertebral angle.

Medications: Prednisone 10 mg PO daily, metformin 500 mg PO BID: ibuprofen 600 mg PO for pain PRN.

The nurse is concerned about the patient’s renal function. For each patient finding, specify if the finding is consistent with the disease process of glomerulonephritis, urinary tract infection, or chronic kidney disease. Select all that apply in each row.