A nurse is providing care to a client who has rheumatoid art…
A nurse is providing care to a client who has rheumatoid arthritis and reports experiencing pain and swelling of joints in both feet. Which of the following interventions should the nurse suggest the client use to assist with comfort?
Read DetailsThe nurse is caring for a client with heart failure. Upon as…
The nurse is caring for a client with heart failure. Upon assessment, the nurse notes that the client is dyspneic and has audible crackles on auscultation. What additional manifestations would the nurse expect to note in this client if excess fluid volume is present?
Read DetailsThe nurse is caring for a patient postoperative day 1 follow…
The nurse is caring for a patient postoperative day 1 following an open exploratory laparotomy with a large abdominal incision. Which of the following interventions should the nurse implement to prevent respiratory complications in this client?
Read DetailsA 78-year-old client with a history of chronic renal failure…
A 78-year-old client with a history of chronic renal failure arrives to the Emergency Department. The client reports abdominal cramping and paresthesia progressing to muscle weakness. The client’s partner reports increasing irritability over the last few days and prominent tremors. The client typically attends hemodialysis every other day; however, has not had access to transportation for the last 4 days. Based on the client’s history and manifestations which intervention would the nurse plan administer?
Read DetailsA 15-year-old male client who has diabetes mellitus type 1 a…
A 15-year-old male client who has diabetes mellitus type 1 arrives at the emergency department with his mother, who states that her son’s blood sugar level was 330 mg/dL (18.3 mmol/L) when he returned from a 3-day baseball camp. The mother administered 8 units of regular insulin subcutaneously an hour ago, but the child progressively became more confused. Ongoing assessment findings and laboratory tests include the following: Normal Laboratory Values Client Laboratory Values Blood glucose: 70-110 mm/dL Blood glucose=360 mg/dL ABG: pH 7.35-7.45, HC03 22-26 mEq/L, C02 35-45 mEq/L AGB=pH 7.32, HC03 12 mEq/L, C02 33 mEq/L Urine ketones: negative Urine ketones=positive BUN: 7-20 mg/dL BUN=36 mg/dL Creatinine: 0.7-1.2 mg/dL Creatinine=1.1 mg/dL Anion gap: 4-12 mEq/L Anion gap=12 mEq/L Serum Potassium: 3.5-5.0 mEq/L Serum Potassium 3.4 mEq/L Assessment findings: No head wounds or facial bruising noted Lethargic, follows simple commands Scratches present on bilateral knees Pupils equal and reactive to light Abdomen distended, Active bowel sounds Lung fields are clear Deep rapid respirations, breath has a fruity odor Deep rapid respirations, breath has fruity odor Voided 100 mL yellow urine into urinal Choose the most likely options for the information missing from the statements below by selecting from the options provided. Based on the assessment findings and laboratory results, the nurse suspects that the client is experiencing __1__ [option1] because his __1__ [option2] is very high and his other laboratory results indicate that he has __1__[option3]. The nurse anticipates that the client will need __2__ [option4] and __3__ [option5] as soon as possible to manage his diabetic complications. Options for 1 Options for 2 Options for 3 Respiratory alkalosis IV fluid replacement IV long-acting insulin Serum potassium Enteral feedings IV regular insulin Arterial pH Hemodialysis IV dextrose Hyperglycemic hyperosmolar state (HHS) Parenteral nutrition Parenteral nutrition Metabolic acidosis Fruit juice Ham and cheese sandwich Serum glucose Diabetic ketoacidosis
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