“Your level is within target range and indicates good glycemic control.” “Your level is too high, and you will need to increase your medications.” “Your level is too low, and you will need to decrease your medications.” “Your health care provider may want to place you on an insulin pump.”
The nurse is educating a client who has been ordered to wear a Holter monitor. Which statement by the client indicates a need for further education by the nurse?
“I can wear the monitor while I shower.” “I should keep the monitor on when I sleep.” “I should avoid metal detectors and electric razors while wearing the monitor.” “I should keep a log of any chest pain, shortness of breath, or skipped beats while wearing the monitor.”
The nurse is caring for a client receiving warfarin therapy for atrial fibrillation. Laboratory results show an INR of 3.9. The nurse would expect which order from the health care provider?
an order to increase the warfarin dose an order to decrease the warfarin dose an order for protamine sulfate no new order; the INR is therapeutic
The nurse is preparing the client for a liver biopsy. Which statement by the client indicates a need for further instruction regarding the procedure?
“I can resume strenuous activity in 2 to 3 days.” “I will have to lay on my right side after the procedure.” “I will have a small bandage instead of stitches afterward.” “My right shoulder may begin to hurt as the anesthesia wears off.” “I may have a small amount of pain or discomfort during…
The nurse is reviewing arterial blood gases (ABGs) on a client. Which finding would prompt the nurse to notify the health care provider?
pH 7.42 pH 7.67 hCO3 24 mEq/L paCO2 41 mmHg paCO2 44 mmHg
The nurse is caring for a client scheduled to receive electroconvulsive therapy (ECT). Following the procedure, the nurse should be watching for which serious complications?
skin burns airway compromise cardiac dysrhythmias loss of bladder control neurological complications
A client is scheduled for a CT of the brain with and without IV contrast dye to evaluate a possible hemorrhage. Which finding in the client’s history should the nurse report immediately to the health care provider?
allergy to shellfish history of schizophrenia allergy to cephalosporins presence of a pacemaker
The nurse is educating a client newly diagnosed with gout regarding dietary choices. The nurse understands that further teaching is needed if the client orders which foods for lunch?
fruit cup with corn bread and tea tuna fish sandwich with green peas a peanut butter sandwich with 1 percent milk low-fat cheese and crackers with blueberries
The nurse is performing an admission assessment on a client with thrombocytopenia. Which signs and symptoms and lab findings would the nurse expect to see in this client?
epistaxis petechiae vomiting blood elevated hematocrit increased platelet count
The nurse is caring for a client with hypoparathyroidism. The nurse understands that this client is at risk for which problem?
hypercalcemia hypermagnesemia decreased phosphorus levels low parathyroid hormone levels