premedication with an anticholinergic agent morning bath, NPO after midnight informed consent in writing administration of an anticonvulsant 30 minutes before ECT
The ED nurse has admitted a client who is homeless and was found unresponsive in the street during below freezing temperatures. The client is diagnosed with severe hypothermia. The nurse should implement which measures for this client?
apply a heating blanket obtain an oral temperature assess level of consciousness position in the supine position massage the extremities vigorously prepare to administer CPR if indicated
Which assessment finding in a client with chronic kidney disease indicates late-stage symptoms?
shortness of breath oliguria tea-colored urine edema in lower extremities
The nurse is caring for a client with suspected connective tissue disease. Assessment findings include chronic back pain, weight loss, joint pain and itching, and visual disturbances. The nurse anticipates a diagnosis of which disorder for this client?
Reiter syndrome Marfan syndrome ankylosing spondylitis systemic necrotizing vasculitis
The nurse is performing discharge teaching to a client diagnosed with chronic pancreatitis. Which statement by the client indicates an understanding of home management of the condition?
“I should avoid large, heavy meals.” “I can have an occasional glass of red wine.” “I can resume my daily jogging once I get home.” “I should avoid smoking and caffeinated beverages.” “I should add extra spices to my food to make it taste better.”
The nurse is caring for a 52-year-old African American male newly diagnosed with hypertension. He has a history of chronic kidney disease and diabetes. The nurse would expect to see which medication order for this client?
enalapril 5 mg PO QD enalapril 5 mg PO QD and amiloride 5 mg PO QD enalapril 5 mg PO QD and atenolol 50 mg PO QD enalapril 5 mg PO QD and amlodipine 2.5 mg PO QD
The oncology nurse is assessing a client diagnosed with cancer of the tongue. Upon examination, which signs and symptoms would the nurse expect to find?
weight gain well-fitting dentures a black, hairy tongue difficulty swallowing a sore that bleeds or does not heal difficulty chewing or pain with chewing
A client presents to the ED with complaints of sweating, heart palpitations, vertigo, and the urge to lay down shortly after eating. The nurse anticipates which diagnosis for this client?
appendicitis cholecystitis ulcerative colitis dumping syndrome
The nurse is caring for a client who had a basilar artery stroke. The nurse would expect which signs and symptoms in this client?
memory problems, visual hallucinations, visual deficits, hemisensory disturbances weakness in the foot and leg, sensory loss in the foot and leg, incontinence, ataxia, lack of spontaneity impaired consciousness, visual loss, bilateral sensory and motor dysfunction, and pupil abnormalities ataxia, contralateral facial weakness, contralateral hemiplegia, visual deficits, speech impairments, perceptual impairments
The nurse is caring for a client in ICU diagnosed with rabies following a bite from an infected raccoon. The nurse understands which to be true regarding rabies?
The client should not be bathed, and no running water should be present within hearing of the client. Current treatment includes two doses of immunoglobulin and six doses of rabies vaccine over a period of 21 days. Nuchal rigidity, convulsions, and tonic or clonic muscle contractions can occur during the neurological phase. In the prodromal…