The nurse is visiting a client living alone in a two-room house, who requires wound care and medication management.  There is no running water in the house and the bathroom is in disrepair and filthy.  At the first home visit, which of the following should the nurse assess? Select all that apply.

Which of the following clinical findings would be a priority to report to the healthcare provider (HCP) for a client with cirrhosis of the liver?   

Which of the following items on the client’s breakfast tray would cause the most concern for the nurse who is reviewing the client’s medication list?   

A client with a urinary tract infection is experiencing intense burning and pain. What aspect of the client’s health history would contraindicate the safe and effective use of a urinary tract analgesic?  

At the beginning of the shift, the nurse is assigned a client with a colostomy draining liquid stool.  Which picture identifies correct placement where the nurse will assess the stoma?   

A client is admitted with acute kidney injury due to dehydration. The client has oliguria, anemia, and has a serum potassium level of 6.2 mmoL/L. Which action should the nurse take first?

Based on the information in the accompanying figure obtained for a patient in the emergency department, which action will the nurse take first? History Physical Assessment Diagnostic Exams Age 23 Right lower leg injury Reports severe right lower leg pain Reports feeling short of breath Bone protruding from right lower leg WBC: 9400/uL Hgb 11.6 g/dL Right leg x-ray: right tibial fracture

The nurse is performing an assessment and taking a history of a client.  Which finding should be immediately reported to the health care provider?  

   The provider has ordered 7,500 units of epogen. How many mL will the nurse administer? Round to the nearest tenth. ____ mL _______

Two units of packed red blood cells have been prescribed for a client who has experienced a gastrointestinal bleed. The client is highly reluctant to receive a transfusion, stating, “I’m terrified of getting AIDS from a blood transfusion.” How can the nurse best address the client’s concerns?