you are treating a 36-year-old patient who displays the following signs and symptoms: rapid, shallow respirations; pale, cool, clammy skin; tachycardia; weakness on the left side of the body; and confusion and irritability. what should you suspect?
a child is diagnosed with a food allergy to milk. when teaching the parents about this allergy, what would the nurse suggest as a possible substitution(s) for milk? select all that apply.
several of the clients at the clinic are preparing to have surgery within the next 2 weeks. they are completing preoperative paperwork today with their visit. what are some of the reasons that people might need to have surgery? select all that apply.
the patient was given an ssri about 60 minutes ago and is now having change of mental status, a rapid pulse, loss of muscular coordination, and hyperthermia. which action should the nurse take first to address this life-threatening condition?
a nurse is providing education to an older adult client concerning ways to prevent constipation. which diet choices would support that the education was successful? select all that apply.
a client diagnosed with iron deficiency has been taking oral ferrous sulfate for the past several days. when the nurse is assessing for therapeutic effects, what question is most warranted?
the nurse is caring for a client who reports pain as 10, on a 0 to 10 scale. after the administration of an opioid anesthesia, the nurse observes the client's respiratory rate decrease to 8 breaths per minute. what is the priority action by the nurse?
the nurse is preparing a teaching plan for a client with newly diagnosed glaucoma and a history of allergic rhinitis. which information is most important for the nurse to provide the client about using over-the-counter (otc) medications for allergies?
a client has been receiving total parenteral nutrition (tpn) for the last 5 days. before discontinuing the infusion, the infusion rate is slowed. what complication of tpn infusion should the nurse assess the client for as the infusion is discontinued?
the nurse is attempting to control the infectious process while caring for a client. the nurse changes the client's wound dressing when the dressing becomes soiled. which link of the chain of infection is the nurse interrupting with this intervention?
which instruction should the nurse include in the discharge teaching for a client who needs to perform self-catheterization technique at home?
at the 6-week visit following delivery of her infant, a postpartum client reports extreme fatigue, feelings of sadness and anxiety, and insomnia. based on these assessment findings, the nurse documents that the client is exhibiting characteristics of:
a nurse is caring for a client with acute renal failure. the health care provider has prescribed a diuretic therapy for the client to promote dieresis. what intervention should the nurse perform to prevent the inconvenience caused by increased urination?
an acute disease becomes when the body cannot get rid of it; while a local disease becomes when it disseminates into deeper organs and tissues. (a) contagious; systemic (b) contagious; secondary (c) chronic; systemic (d) chronic; secondary
a client with a history of self-harm reports lethargy, loss of appetite and insomnia to the nurse. the client states that she relies heavily on sleep medications that her primary care provider prescribed. what is the nurse's priority assessment question?
a client comes into the clinic complaining of jaw pain, and admits to teeth gritting at night. the client wants natural remedies, no prescriptive drugs. which over-the-counter natural remedy is the most appropriate for this client?
