The nurse assists a client with Parkinson's disease (PD) to ambulate in the hallway. The client appears to "freeze" and then carefully lifts one leg and steps forward. The client tells the nurse of pretending to step over a crack on the floor. How should the nurse respond?

The nurse establishes a nursing problem, "Fatigue related to inability to rest comfortably secondary to rheumatoid arthritis." Which nursing intervention should the nurse include in the plan of care (POC) for this client?

The nurse reviews discharge instructions with a client who has gastroesophageal reflux disease (GERD). Which instruction is most important for the nurse to emphasize?

The nurse is caring for a client who reports a sudden, severe headache, and facial numbness. The nurse asks the client to smile and observes an uneven smile with facial droop to the right side and a hand grasp strength that is weaker on the right than the left. The client denies a recent history of headaches or trauma. After obtaining vital signs, the nurse should implement which intervention?

While changing the dressing of a client who is immobile, the nurse notices the boundary of the wound has increased. Before reporting this finding to the healthcare provider, the nurse should evaluate which of the client's laboratory values?

The nurse has determined that a client with trigeminal neuralgia has the nursing problem, "Imbalanced nutrition, less than body requirements." Which cause is most likely contributing to the problem?

A client who has had diabetes for the past 10 years has an elevated blood pressure and bilateral ankle edema. Which laboratory result should the nurse report to the healthcare provider?

A client with chronic venous insufficiency is being discharged from the hospital, and plans to return home. Which client statement indicates an understanding of home care instructions?

The nurse is collecting a urine specimen for a client with symptoms related to urethritis. Which collection method should the nurse implement?

A client is admitted to the emergency department 5 days after an acute coronary syndrome (ACS) troubled by severe fatigue, muscle weakness, and shortness of breath. The client's electrocardiogram (ECG) indicates sinus tachycardia and the laboratory findings indicate an elevated serum brain natriuretic peptide (BNP) level. Which action is most important for the nurse to implement?

An older adult client, at risk for osteoporosis, reports taking a multivitamin daily. In developing a teaching plan for the client, which follow up information should the nurse obtain?

Patient Data Exhibits Based on the nurse’s assessment, history and flow sheet, which condition is the client most likely experiencing?

Patient Data Exhibits Which assessment factors require immediate nursing intervention based on the nurse’s assessment? Select all that apply)

The healthcare provider places prescriptions to determine the extent of the client's condition. Exhibits Based on the client's laboratory findings, the nurse recognizes that the client is having an acute gout attack and is most at risk for dropdown and dropdown in his affected joint.

Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. Exhibits The nurse should teach the client that gout attacks can be limited by keeping a diet that is dropdown and a lifestyle free from dropdown.

Patient Data Exhibits The nurse is reviewing the client's dietary choices for opportunities to promote better outcomes by limiting gout attacks. Select the 3 dietary choices that are not part of the recommended diet for a client with gout.

A client is admitted with heart failure (HF) and left ventricular hypertrophy. Which intervention is most likely to avert development of cardiomegaly and improve myocardial contractility?

Two weeks following a Billroth II (gastrojejunostomy), a client develops nausea, diarrhea, and diaphoresis after every meal. When the nurse develops a teaching plan for this client, which expected outcome statement is the most relevant?

A client with pancreatitis is receiving 0.9% normal saline, and the prescribed IV infusion rate was increased from 100 mL/hour to 150 mL/hour. Which assessment finding indicates to the nurse that the prescription has a therapeutic outcome? Reference Range: Blood glucose [70 to 110 mg/dL (less than 6.1 mmol/L)] Amylase [60 to 120 units/dl. (30 to 220 units/L)] Blood urea nitrogen (BUN) [10 to 20 mg/dL (3.6 to 7.1 mmol/L)] Hematocrit (HCT) [42% to 52% (0.42 to 0.52 volume fraction)]

The nurse is caring for a client who is dehydrated. Which action by the nurse is the best assessment of the client's hydration status?

Patient Data Exhibits For each body system below, click to specify the assessment(s) the nurse will perform most frequently. Body System Assessment Respiratory Breath sounds Accessory muscle use Respiratory rate Cardiovascular Heart rhythm Capillary refill Apical pulse Neurological Pupil size Reflexes Orientation to person, place, time, and situation

Patient Data Exhibits The nurse comes into the room to replace the IV bag and notices the client's extremities are violently jerking. The client is not arousable, and the oxygen saturation is 59% on the monitor. Complete the following sentence by choosing from the lists of options. Based on the information collected, the client is likely experiencing dropdown related to dropdown.

Patient Data Exhibits The nurse identifies that the client is having a tonic clonic seizure. The oxygen saturation is 40% and the respiratory rate is 4 breaths/minute. The nurse calls for help and 2 other nurses enter the room. Which 3 interventions should be performed first?