You are supervising a nursing student who is providing care for a thoracotomy patient with a chest tube. What finding will you clearly instruct the nursing student to notify you about immediately?

The nurse is planning care for a client receiving hemodialysis. Which should be included in the client’s plan of care?

The nurse is teaching a client with heart failure about reducing fluid retention. Which strategy will be most effective in reducing a client’s fluid retention? 

A client with diabetes mellitus presents to the clinic for a regular 3-month follow-up appointment. The nurse notes several small bandages covering cuts on the client’s hands. The client says, “I’m so clumsy. I’m always cutting my finger cooking or burning myself on the iron.” Which response by the nurse would be most appropriate?

An adult with appendicitis has severe abdominal pain. Which action will be the most effective to assist the client to manage pain before surgery?

Mr. Johnson, a 65-year-old patient, is receiving a blood transfusion for anemia. About 20 minutes into the transfusion, he starts to have difficulty breathing, his blood pressure rises, and he begins to cough. Nurse Alex notices these symptoms and stops the transfusion. Based on these signs, what complication should Nurse Alex prepare to manage, and what immediate actions should be taken? 

The nurse is instructing a client about postoperative care following a laparoscopic appendectomy. What information should the nurse include in the teaching plan? Select all that apply.

A 45-year-old female client has just returned to the recovery room after undergoing a renal biopsy to investigate abnormal kidney function. She is awake and alert but slightly drowsy from the sedation. The nurse is monitoring her vital signs and ensuring she is comfortable. The client has a bandage over the biopsy site, and there is no visible bleeding at this time. The nurse is aware of potential complications following this procedure. What should the nurse monitor the client for?

A 58-year-old female client with a history of renal impairment is admitted to the hospital for further evaluation. During the assessment, the nurse observes a positive Chvostek’s sign when gently tapping the client’s cheek, causing facial twitching on the same side. The client has been experiencing muscle cramps and tingling in her fingers over the past few days. What additional information should the nurse assess?

Before supper, an adult client who has type 2 diabetes and requires insulin tells the nurse about having tremors and being weak and anxious. What should the nurse do next?