HESI RN EXIT V4

We care Dr wanjohi HESI RN Exit V2 The nurse assumes care of a postoperative adult client with type 2 diabetes mellitus and learns that the client has a current blood glucose level of 720 mg/dL. When assessing the client, what is the priority? A. Assess for signs of fluid volume deficit B. Observe wound drainage characteristics C. Measure the level of acute pain D. Determine when the client last ate - ANSWER: A. Assess for signs of fluid volume deficit A male client tells the nurse that he is concerned that he may have a stomach ulcer, because he is experiencing heartburn and dull gnawing pain that is relieved when he eats. Which is the best response by the nurse? A. Encourage the client to obtain a complete physical exam, since these symptoms are consistent with an ulcer B. Assure the client that his symptoms may only reflect reflux, since ulcer pain is not relieved with food C. Instruct the client that these mild symptoms can generally be controlled with changes in his diet D. Advise the client that he needs to seek immediate medical evaluation and treatment of these symptoms - ANSWER: A. Encourage the client to obtain a complete physical exam, since these symptoms are consistent with an ulcer A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at