The nurse is caring for a 72-year-old patient with type 2 di…
The nurse is caring for a 72-year-old patient with type 2 diabetes who is brought to the emergency department by family. The family reports increasing confusion, extreme thirst, frequent urination, and weakness over the past several days. Assessment findings include dry mucous membranes, poor skin turgor, heart rate 118/min, blood pressure 92/54 mmHg, and decreased level of consciousness. Laboratory results show: Blood glucose: 824 mg/dL Serum osmolality: elevated Urine ketones: negative Serum potassium: 3.4 mEq/L Which condition does the nurse suspect?
Read DetailsThe nurse is teaching a patient who has been prescribed simv…
The nurse is teaching a patient who has been prescribed simvastatin for hyperlipidemia. During discharge teaching, the patient states, “I usually drink grapefruit juice every morning with breakfast. That should be fine because it is healthy, right?” Which response by the nurse is best?
Read DetailsA 9-year-old child who speaks limited English is brought to…
A 9-year-old child who speaks limited English is brought to the emergency department with bruising. The caregiver answers all questions for the child. The child appears anxious and avoids eye contact. The nurse needs to assess the child further. What is the nurse’s priority communication action?
Read DetailsThe nurse is turning a patient who has been immobile after s…
The nurse is turning a patient who has been immobile after surgery. The nurse notices a purple-maroon area over the right hip. The skin is intact, but the area feels boggy and warmer than the surrounding tissue. A small blood-filled blister is also present. Which label best describes this finding?
Read DetailsThe nurse is caring for a 5-month-old infant admitted for fa…
The nurse is caring for a 5-month-old infant admitted for failure to thrive. The care plan includes daily weights, strict intake and output, calorie counts, high-calorie formula as ordered, and feeding observation. On the second hospital day, the nurse notes that the infant has persistent vomiting after feeds, fewer wet diapers, sunken fontanelle, lethargy, and no weight gain. The caregiver states, “I do not know why the baby is not better. I fed him once yesterday, but he was too tired the rest of the day.” Which action should the nurse take first?
Read DetailsThe nurse is caring for a premature infant being discharged…
The nurse is caring for a premature infant being discharged from the NICU. The parents report that the infant will sleep in a crib in their bedroom. The father smokes outside the home. The grandmother bought a sleep positioner, thick blanket, and stuffed animals for the crib. The mother plans to continue breastfeeding and keep immunization appointments. Which teaching should the nurse prioritize?
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