Your patient has complaints of severe right-sided flank pain, nausea, vomiting and restlessness. He appears slightly pale and is diaphoretic. Vital signs are BP 140/90 mmHg, Pulse 118 beats/min., respirations 33 breaths/minute, and temperature, 98.0F. Which subjective data supports a diagnosis of renal calculi?

The nurse is caring for a client with diabetic ketoacidosis (DKA) receiving intravenous (IV) regular insulin. The most recent potassium was 2.9 mEq/L. The nurse should take which priority action:

The nurse working in a postoperative surgical clinic is assessing a woman who had a left radical mastectomy for breast cancer. Which factor puts this client at greatest risk for developing lymphedema? 

A client is admitted to the hospital with a traumatic brain injury after his head violently struck a brick wall during a gang fight. Which finding is most important for the nurse to assess further?

The nurse is most likely to report which finding to the primary care provider for a client who has an established colostomy?

When a brain-injured patient responds to nail bed pressure with internal rotation, adduction, and flexion of the arms, how should the nurse report the response?

A 60-year-old female client with a 5-year history of diabetes mellitus type 2 visits her primary health care provider with report of an "itchy" skin rash that she has never had before. On inspection, the nurse notes that she has multiple raised reddened lesions of varying sizes located primarily on her legs and arms.

The client reports that her diet has not changed and that she feels embarrassed about her skin problem. The nurse documents her current medications:

• Glipizide 5 mg orally once daily with breakfast for diabetes mellitus type 2
• Furosemide 20 mg orally once every other day for hypertension
• Lovastatin 40 mg orally once daily for high cholesterol
• Duloxetine 60 mg orally once daily for clinical depression
• Trimethoprim/sulfamethoxazole DS 1 tablet every 12 hours for acute urinary tract infection

Choose the most likely options for the information missing from the statements below by selecting from the lists of options provided.

The nurse will instruct the client that she should not continue taking The nurse will instruct the client that she may not be able to continue taking ___________________ .

Which assessment finding in a 36-yr-old patient is most indicative of a need for further evaluation?

Nurse Lily is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?

A 23-year-old sexually active female presents with white copious discharge and itch and is diagnosed with yeast vaginitis. This condition is caused by overgrowth of which
microorganism?

Which question should the nurse ask when assessing a 60-year-old patient who has a history of benign prostatic hyperplasia (BPH)?