A nurse is caring for a client with DI. Which data warrants the most immediate intervention by the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst - ANS a. Serum sodium of 185
The nurse is obtaining ...
, A nurse is caring for a client with DI. Which data warrants the most immediate intervention by
the nurse?
a. Serum sodium of 185
b. Dry skin with inelastic turgor
c. Apical rate of 110 beats per minute
d. Polyuria and excessive thirst - ANS a. Serum sodium of 185
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease
(PUD). Which subjective data reported by the client supports this medical diagnosis?
a. Frequent use of chewable and liquid antacids for indigestion
K
b. severe abdominal cramps and diarrhea after eating spicy foods
c. upper mid-abdominal pain described as gnawing and burning.
d. Marked loss of weight and appetite over the last 3 or 4 months - ANS c. upper
C
mid-abdominal pain described as gnawing and burning.
The nurse assess a client who is newly diagnosed with hyperthyroidism and observes that the
LO
client's eyeballs are protuberant, causing a wide-eyed appearance and eye discomfort. Based
on this finding, which action should the nurse include in this client's plan of care?
a. Assess for signs of increased intracranial pressure
b. Prepare to administer intravenous levothyroxine
c. Review the client's serum electrolyte values
YC
d. Obtain a prescription for artificial tear drops - ANS d. Obtain a prescription for artificial tear
drops
To reduce the risk for pulmonary complication for a client with Amyotrophic Lateral Sclerosis
(ALS), which interventions should the nurse implement? (Select all)
a. Perform chest physiotherapy
D
b. Teach the client breathing exercises
c. Initiate passive range of motion exercises
d. Establish a regular bladder routine
U
e. Encourage use of incentive spriometer - ANS a. Perform chest physiotherapy
b. Teach the client breathing exercises
e. Encourage use of incentive spriometer
ST
A client hospitalized with heart failure (HF). Which intervention should the nurse implement to
improve ventilation and reduce venous return?
a. Perform passive range of motion exercises
b. Place the client in high fowler position
c. Administer oxygen per nasal canula
d. Increase the client's activity level - ANS b. Place the client in high fowler position
A client who was involved in a motor vehicle collision is admitted with a fractured left femur
which is immobilized using a fracture traction splint in preparation for an open reduction internal
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