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The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client's ability to care for himself. Which statement by the client indicates a need for follow-up after discharge?
A gravida III para II client is admitted to the labor unit. A vaginal exam reveals that the client's cervix is 8 cm dilated with complete effacement. Transition is the time during labor when the client may lose concentration due to intense contractions. What is the priority nursing diagnosis at this time?
A female adult patient is taking a progestin-only oral contraceptive (the "mini pill"). Progestin use may increase the patient's risk for which of the following?
The termination phase of the therapeutic nurse-client relationship has been handled successfully when the nurse
A client tells the nurse, "When I saw my therapist yesterday, he stroked my breast and suggested that he will give me a pass to leave the hospital if I meet him at his apartment." What action should the nurse take first?
A 6-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to this client?
A nurse caring for a patient who is suffering should do which of the following? (Select all that apply.)
A patient is in her last trimester of pregnancy. Nurse Vickie should instruct her to notify her primary health care provider immediately if she notices:
A client with cancer received a platelet transfusion 24 hours ago. Which of the following assessment findings would indicate the most therapeutic effect from the transfusion?
Where do standards of care originate for nurses in clinical practice?
A nurse is assessing a client for HIV. The nurse should identify that which of the following are risk factors associated with this virus? (Select all that apply.)
A client with COPD is in respiratory failure. The following arterial blood gas results are obtained: PCO2 58 mmHg, SaO2 90%, pH 7.23, HCO3 30 mEq/L. Which of these results is the most sensitive indicator that the client requires mechanical ventilation?
A client makes a routine visit to the prenatal clinic. Although she is 14 weeks pregnant, the size of her uterus approximates that of an 18- to 20-week pregnancy. Dr. Charles diagnoses gestational trophoblastic disease (hydatidiform mole) and orders ultrasonography. The nurse expects the ultrasonography to reveal:
A home health nurse is making preparations for morning visits. Which of the following clients should the nurse visit first?
The client is receiving total parenteral nutrition (TPN). Which lab value should be monitored while the client is receiving TPN?
What is most important to remember about extracellular electrolyte balance regarding sodium (Na+) and fluid shifts?
The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely report that his abdominal discomfort decreases when he:
Which goal should be evaluated as met prior to a client's discharge from an inpatient psychiatric unit?
A 9-year-old girl with rheumatic fever is being assigned a roommate. Which of the following patients would be the best roommate for her?
Which information should be given to a patient undergoing radiation therapy for breast cancer?