A nurse is caring for a client who is receiving a transfusion of one unit of packed cells because of blood loss during surgery. Thirty minutes after the unit of blood is hung, the client reports chills and back pain. The client’s blood pressure is 80/64 mm Hg. What should the nurse do first?

The client takes an oral anti-diabetic agent to control diabetes. The client has been very rushed and skipped lunch. How will this affect the client?

On a visit to the clinic, a client reports the symptoms of rheumatoid arthritis. Of the following assessment findings, which finding would be unexpected for rheumatoid arthritis?

A nurse is planning care for a client with Risk for Bleeding. Which intervention supports this nursing diagnosis?

A client asks why asthma medication is needed even though the client’s last attack was several months ago. Which response by the nurse is appropriate?

An adult will be administering daily insulin to her blind grandfather. The insulin dose is NPH 15 units and Regular 5 units every morning. Which statement by the caregiver indicates further instruction on insulin administration is needed?

The spouse of a client who is dying tells the nurse, “I don’t think I can come anymore and watch her die. It’s tearing me up too much!” What is the most therapeutic response by the nurse?

The nurse is planning to implement a bladder retraining program for the client who has incontinence. Which intervention is contraindicated in the plan of care?

A charge nurse is asked to witness a surgical consent form. Upon entering the room, the client asks “Are there other options besides surgery?” What is the most appropriate response by the nurse?

A person that is consuming more energy than needed to maintain their weight would be in _____________energy balance.