The nurse is completing a head-to-toe assessment on a client with an open fracture of the left tibia & soft tissue damage. The client underwent a reduction and fixation of the tibia with debridement of the nonviable tissue with drain placement. The nurse will be most concerned with:  

A 17-year-old patient is diagnosed with rheumatic heart disease following a recent episode of rheumatic fever. The nurse is preparing a teaching plan to help prevent further cardiac complications. Which intervention should the nurse prioritize?

The patient has an infusion of Aminophylline 2gm in 500 ml D5W. The IV is infusing at 25ml/hr via an infusion pump. How many mg of Aminophylline is the patient receiving per hour?  If rounding is required, round to the 100th.   Enter a numeric value only.  

You are caring for a client who is experiencing a flare-up of rheumatoid arthritis. The client reports a pain level of 7/10 in both wrists along with stiffness. The wrist are red, warm, and swollen. What nonpharmacological nursing interventions can you provide to help alleviate the pain and stiffness?

Cefadyl 2gm in 100ml NS is to be administered IVPB per pump. The drug should be infused over 35min. At what rate should the infusion pump be set in ml/hr?  If rounding is required, round to the 10th.  Enter a numeric value only.   

Zantac 50 mg in 50 ml of NS is to infuse of 30 minutes. The drop factor is 15 gtts/ml. Calculate the gtts/min. Numeric value only. 

A nurse is educating a client at the senior center in the local community. She is talking with a client who has Type 1 diabetes. Which statement by the client is most predictive of a potential for impaired skin integrity?

A nurse is preparing to perform a physical exam on a patient. She has found that it is best to perform the physical with a head-to-toe approach. Why is this important?

The patient has an order for regular insulin to infuse at 18 units/hr. The pharmacy sends a bag with 1000 units regular insulin in 500 ml of NS. How would the nurse set the infusion pump in ml/hr to deliver this dose? If rounding is required, round to the nearest 10th. Enter a numeric value only.

The nurse is consulting with a client who has a hiatal hernia. Diet counseling should include which of the following: