A nurse is caring for an 83-year-old client admitted to a me…
A nurse is caring for an 83-year-old client admitted to a medical unit with sudden onset of confusion, disorganized thinking, and fluctuating levels of consciousness that began during the night shift. The client’s daughter reports that the client was alert, oriented, and managing personal activities independently two days ago. Which of the following findings represents the most significant precipitating factor contributing to this client’s current episode of delirium?
Read DetailsA nurse assesses a client who reports chronic gastrointesti…
A nurse assesses a client who reports chronic gastrointestinal discomfort, headaches, and fatigue for several years. Extensive medical testing has revealed no identifiable physiological cause. The client continues to seek evaluations from multiple specialists and expresses intense worry about the symptoms. Which interpretation by the nurse is most appropriate?
Read DetailsQuestion: Ms. Patel is in the post-anesthesia care unit and…
Question: Ms. Patel is in the post-anesthesia care unit and is difficult to arouse two hours after surgery. She has received IV morphine for postoperative pain. Her respiratory rate is 7/min and respirations are shallow. She does not respond to stimuli. The nurse immediately assesses airway, breathing, and circulation and obtains ABGs. Results show pH 7.10, PaCO2 70 mm Hg, HCO3 24 mEq/L. What does this indicate?
Read DetailsA client with severe anorexia nervosa (BMI 14) is admitted f…
A client with severe anorexia nervosa (BMI 14) is admitted for nutritional rehabilitation. Enteral feeding was initiated 24 hours ago. Which assessment finding should the nurse recognize as the earliest indication of refeeding syndrome?
Read DetailsA nurse is assessing a client with a suspected purging-type…
A nurse is assessing a client with a suspected purging-type eating disorder. Which physical assessment finding most strongly indicates self-induced vomiting behaviors? A nurse is assessing a client with a suspected purging-type eating disorder. Which physical assessment finding most strongly indicates self-induced vomiting behaviors?
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