0530: Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm. - ✔✔Indicated: Notify the provider immediately, Administer
0.9% sodium chloride 200 mL IV bolus, Apply oxygen at 2 L/min via nasal cannula, Position the client's legs elevated Not indicated: Perform a 12-lead ECG, Obtain blood glucose level is not indicated
A nurse is caring for a client who is postoperative following abdominal surgery. 1100: Client received from PACU; initial vital signs recorded. - ✔✔Instruct the client to splint the abdomen with a pillow for coughing.
Plan to ambulate the client as soon as possible
Report urinary output to the provider Ask the client to rate their pain 0 to 10 pain scale A nurse is caring for a client who is receiving total parenteral nutrition (TPN). a new bag is not available when the current infusion is nearly completed. - ✔✔Administer dextrose 10% in water until the new bag
arrives.
A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. - ✔✔The client reports back pain.
A nurse is caring for a client who is having a seizure. - ✔✔Turn the client to the side.
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. - ✔✔Reports of a night cough.
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury.
- ✔✔Use a 30 mL syringe.
A nurse is assessing a client who has graves disease. Which of the following images should indicate to the nurse that the client has exophthalmos - ✔✔Choose the one that's not a guy. It should be one with big bulging eyes staring at you.
A nurse is caring for a client who has DKA. Which of the following findings indicate improving? - ✔✔Glucose 272 mg/dL
A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the nurse expect? - ✔✔Constipation
A nurse is preparing to administer a blood transfusion to a client who has anemia. - ✔✔check for the type and number of units of blood to administer.
a nurse is caring for a client who has a leg cast and is returning to demonstrate on the proper use of crutches while climbing stairs. - ✔✔Place body weight on the crutches
Advances the unaffected leg onto the stair