Read the following case scenarion about a 35-year old female and then refer to the case scenario to answer the question that followsMedical/Surgical History: Asthma x 10 years controlled with inhaler, prediabetes, newly diagnosed with stage 1 essential hypertension.Social History:  Smokes 1 to 2 packs of cigarettes per week because “smoking helps me relax from my high stress job as a 911 operator.” Drinks 2 to 3 alcoholic beverages a month.  Denies illicit drug use.Family History:  Mother died from a stroke secondary to hypertension at age 63 years.  Sister died at age of 39 of breast cancer.  Father is alive and healthy.Physical Assessment:  Overweight female with a BMI of 35.  Alert and oriented.  Milk diaphoresis.  Lungs clear; S1, S2 heart sounds with an occasional irregular beat; 3+ pedal pulses.  Occasional expiratory wheeze that clears with coughing.Medications:  LIsinopril 10 mg daily; baby aspirin daily; albuterol rescue inhaler, 2 puffs, prn.  The nurse review the client’s history.  Select all the factors that increase this client’s risk for hypertension.  Select all that apply

The nurse is caring for a client with bacterial pneumonia.  The nurse understands which lab value would indicated an infection?

A client is being treated for acute cholecystitis.  The client is instructed on dietary measures to reduce the possibility of recurrent episodes.  Which client comment indicates a need for additional teaching?

The doctor orders 20mg of Ciprofloxacin (Cipro) to be given every 6 hours.  The available concentration is 10mg per 5 ML.  How many milliters should the nurse administer per dose? [BLANK-1]

The nurse is providing care for an adult client with a diagnosis of viral rhinitis.  The HCP orders acetaminophen and a decongestant.  Additionally, the HCP orders rest, increase in Vitamin C and oral fluids.  Which client health information will cause the nurse to question of the orders?

The client is scheduled for colon surgery which will require the placement of a colostomy.  The wound, ostomy, and continence nurse (WOcN) will evaluate the client for correct stoma placement.  Which consideration by the nurse will most impact skin integrity?

A client presents with abdominal pain.  The nurse knows which pain description is consistent with appendicitis?

A client is being discharged from the hospital with diarrhea and the nurse has completed her education.  Which statement by the client indicates that teaching was effective?

The nurse is obtaining information from a client which is obese and has diabetes mellitis (DM.  Upon assessment, the nurse notes generalized ecchymosis, and enlarged and tender liver upon palpation, and evidence of ascites with inspection.  What is the concern of the nurse?  

The client presents at the Emergency Room (ER) with epigastric pain.  The client’s temperature is 101.4 F, heart rate is 101, respiratory rate is 22.  Which additional symptom will the nurse associate as a possible sign of cholelithiasis?