21-year-old male patient was brought to the emergency department today at 0500 with abdominal pain, nausea, and vomiting with increasing polyuria, polydipsia, and drowsiness since the day before. The patient is diagnosed with diabetic ketoacidosis. Below are the results of the laboratory studies: Laboratory Studies Results Reference Range Basic Metabolic Panel Sodium (Na+) 132 135 – 145 mEq/L Potassium (K+) 6.0 3.5 – 5.0 mEq/L Chloride (CL-) 93 96 – 106 mEq/L Bicarbonate (CO2) 16 22 – 28 mEq/L Urea nitrogen (BUN) 35 7 – 20 mg/dL Creatinine 1.5 0.8 – 1.4 mg/dL Estimated glomerular filtration rate (eGFR) 65.6 >  90 mL/min/1.73 m2 Glucose 299 70 – 110 mg/dL Arterial Blood Gas pH 7.25 7.35 – 7.45 PaCO2 35 35 – 45 mmHg HCO3 16 20 – 28 mEq/L PaO2 95 80 – 100 mmHg What are the appropriate nursing actions? Select all that apply.

The nurse is teaching a women’s group about prevention of hypertension. What information should be included in the teaching for all the women? Select all that apply.

The clinic nurse is caring for an elderly client who is overweight and being treated for hypertension. What is the most important for the nurse to emphasize to prevent myocardial infarction (MI)?

A 40-year-old female patient presents to the outpatient clinic for routine checkup complaining of increase tiredness, intolerance to cold, trouble concentrating, and weight gain of 15 pounds in the last 2 months without significant change in diet. She is wearing thick coats and the weather outside is 98 degrees. What additional assessment data should the nurse gather? Select all that apply.

The patient has chronic hypertension. Today the patient has gone to the emergency department and the patient’s blood pressure has risen to 200/140. What is the priority assessment for the nurse to make?

A nurse cares for a client after cardiac catheterization. During assessment of the groin site, the nurse notices that the dressing is saturated with blood and a small trickle leaks down the client’s leg. What should the nurse do first?

A client whose systolic blood pressure is always higher than 140 mm Hg in the clinic tells the nurse, “My blood pressure at home is always fine!” What action should the nurse take next? 

A client diagnosed with heart failure has an 8-hour urine output of 200 mL. What is the nurse’s first action?

Which clinical manifestations does the nurse expect to assess in a patient that is diagnosed with hyperthyroidism? Select all that apply.

When the nurse is caring for a client with pelvic inflammatory disease (PID) requiring hospitalization, which nursing intervention will be included in the plan of care?