A client presents with progressive fatigue, pruritus, and abdominal distention. The nurse notes 2+ bilateral lower extremity edema, multiple spider-like vascular lesions on the chest, and yellowing of the sclera. Laboratory results show elevated bilirubin, low albumin, and prolonged PT/INR. Based on these assessment findings, the nurse suspects impairment of which organ system?

A client with a T4 spinal cord injury develops neurogenic shock. Which interventions should the nurse anticipate implementing? Select all that apply.

A client who sustained deep partial-thickness burns 8 weeks ago is now in the rehabilitation phase. The nurse observes that the client’s healed skin is dry and itchy, and the client states, “I stopped wearing the pressure garment because it’s uncomfortable.” Which instruction is most important for the nurse to reinforce to promote optimal scar healing?

A client with acute kidney injury has urine output of 200 mL/day, elevated potassium and phosphorus, and metabolic acidosis. Which phase of AKI is the client most likely in?

A nurse assesses a client with Parkinson’s disease. Which finding is most consistent with classic motor symptoms?

The nurse is caring for a client whose laboratory results show elevated AST and ALT, elevated bilirubin, and a positive hepatitis B surface antigen (HBsAg) test. Which interpretation by the nurse is most accurate?

A client with newly diagnosed diverticulosis asks about dietary changes. Which instruction is appropriate?

A client with frostbite to the fingers reports numbness and “wood-like” stiffness. Which nursing action is appropriate?

Debbie, a 50-year-old female, presents to the emergency department with exophthalmos, a heart rate in the 140 to 150s, and significant weight loss. Which diagnosis is most consistent with her symptoms?

Which of the following chemical mediators is primarily responsible for increased capillary permeability, pain and fever during acute inflammation?