An older adult client with severe burns over more than half of the body has an indwelling catheter. When evaluating the client’s intake and output, which information should be taken into consideration?

A nurse is caring for a client who has sustained a gasoline burn to 25% of the body. Which of the following is a priority safety concern when caring for this client?

A nurse is preparing to start an IV infusion of lactated Ringer’s for a client who sustained a burn injury. The client is prescribed 5,200 mL of fluid over the first 24 hr according to the Parkland formula. How many mL/hr should the nurse set the pump to infuse for the first 8 hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)______ml/hr (Just write the number)

A nurse is preparing an educational session for newly licensed nurses about cancers that are often missed or misdiagnosed, leading to increased mortality rates. Which of the following types of cancer should the nurse include in the discussion?

A nurse is caring for a client who has a FULL Code Status on the chart. The client is in cardiac arrest and has activity on the electroencephalogram. Which of the following intervention should the nurse perform?

A nurse is caring for a client who recently began radiation therapy for Stage I Hodgkin’s lymphoma. The client reports, “My arms and hands feel tight and heavy. I can’t put my ring on, and I’m having trouble doing daily tasks because my fingers won’t move normally.” The nurse should recognize that the client is most likely experiencing which of the following complications related to cancer and its treatment?

Case Study: A 87 year-old client is hospitalized with metastatic small cell lung cancer that has spread to her bones. She was transferred from a skilled nursing facility after fracturing her right humerus in a fall. Her diagnoses include chronic obstructive pulmonary disease (COPD), Type 2 Diabetes, Osteoporosis, Hypercholesterolemia, and Hypertension. She has not improved with physical therapy, and for the last two weeks, she reports fatigue and anorexia. The client is experiencing diminishing breath sounds, increasing dyspnea, generalized weakness, stage 2 and stage 4 pressure injuries, and severe pain (9/10) in her right arm.  Vital Signs   Time On admission After Morphine Temp 99.2 99.2 P 110 62 RR 28 16 B/P 150/90 98/70 Pulse oximeter 89% on 2L 92% on 4L Medications   Morphine 4 mg IV q 6 hours Codeine 30 mg one po every 4 hours Tylenol 650 mg one to two po every 4 hours The client’s labs indicate poorly controlled Diabetes (glucose 259, HgbA1C is 9.2%). Order for Oxygen per nasal canula to keep O2 saturation above 92%. After discussing care goals, the client and her family choose hospice. She is now comfortable on Morphine (Pain 1/10), sleeping much of the time, with decreased eating and non-labored breathing. She appears peaceful; vital signs have decreased further, see (after medication). Her family expresses concern about her low oral intake. Which statements to the client’s family about her decreased eating are appropriate? (Select all that apply)

A nurse is caring for a client who has cancer and has a prescription for transcutaneous electrical nerve stimulation (TENS) for pain management. Which of the following actions should the nurse take?  Select all that apply.

Case Study: A 87 year-old client is hospitalized with metastatic small cell lung cancer that has spread to her bones. She was transferred from a skilled nursing facility after fracturing her right humerus in a fall. Her diagnoses include chronic obstructive pulmonary disease (COPD), Type 2 Diabetes, Osteoporosis, Hypercholesterolemia, and Hypertension. She has not improved with physical therapy, and for the last two weeks, she reports fatigue and anorexia. The client is experiencing diminishing breath sounds, increasing dyspnea, generalized weakness, stage 2 and stage 4 pressure injuries, and severe pain (9/10) in her right arm.  Vital Signs   Time On admission After Morphine Temp 99.2 99.2 P 110 62 RR 28 16 B/P 150/90 98/70 Pulse oximeter 89% on 2L 92% on 4L Medications   Morphine 4 mg IV q 6 hours Codeine 30 mg one po every 4 hours Tylenol 650 mg one to two po every 4 hours The client’s labs indicate poorly controlled Diabetes (glucose 259, HgbA1C is 9.2%). Order for Oxygen per nasal canula to keep O2 saturation above 92%. After discussing care goals, the client and her family choose hospice. She is now comfortable on Morphine (Pain 1/10), sleeping much of the time, with decreased eating and non-labored breathing. She appears peaceful; vital signs have decreased further, see (after medication). Her family expresses concern about her low oral intake. What are functions of the interdisciplinary Hospice team for the client? (Select all that apply)

A nurse is caring for a client who has kidney cancer that has metastasized. The client asks the nurse, “What does metastasis mean?” Which of the following responses should the nurse provide?