The nurse determines that a client has a characteristic symptom of pericarditis.  What symptoms does the nurse recognize as significant for this diagnosis?

During client education at the outpatient clinic, the client diagnosed with primary hypertension asks the nurse, “Why do I have high blood pressure?” Which response by the nurse is most appropriate?

The nurse is caring for a 63 year old female with history of hypertension and complaints of shortness of breath.  Day 1: Bilateral breath sounds clear and present throughout, Weight 80kg(176 LB), Urine output 480ml/8 hours. Vital Signs: Temp-99.7, BP 108/50, Pulse 98, Resp rate-20, O2Sat 95% Room Air. Day 4: Breath sounds scattered, crackles heard bilaterally. Apical heart rate rapid and irregular. Audible s3 Gallop. Weight 82.1kg(181 LB). Urine output 320ml/8 hours. Vital Signs: Temp-98.2, BP 138/80,  Pulse 112, Resp rate-28, O2Sat 88% Room Air.  Provider Prescription: Lopressor 25mg PO Daily Lasix 20mg PO BID Potassium 10MEQ BID Out of each assessment finding, please select the findings that indicate the client’s status has improved. Please Select all that apply.

A client is given Lisinopril (Prinivil) and Hydrochlorothiazide (HCTZ). Based on the actions of the medications administered, what instructions will the nurse provide to the client? 

The nurse is preparing to administer metoprolol (Lopressor).  When obtaining vital signs, the nurse notes that the blood pressure is 90/60.  What is the priority action by the nurse?

A client with renal failure has decreased erythropoietin production. Upon analysis of the client’s complete blood count, the nurse will expect which of the following complete blood count results?

What information will the nurse consider when deciding what nursing actions to delegate to a licensed practical/vocational nurse (LPN/LVN) who is working on a medical-surgical unit? Select all that apply.

The nurse is caring for a client with severe neutropenia. Which nursing intervention is most important in preventing septic shock?

AS a home health nurse, you are obtaining an admission history for a client with a deep vein thrombosis and is taking warfarin (Coumadin) 2mg daily. Which statement by the client indicates the need for additional medication teaching?

Case Summary A 69-year-old male client is admitted to the medical-surgical unit for an evaluation of pain and edema of the right lower extremity. The onset of symptoms was 2 days prior to arrival. Client is diagnosed with a deep vein thrombosis requiring heparin therapy. The nurse on the medical-surgical unit is caring for a 69-year-old male client with pain and swelling of the right lower extremity.   Nurses’ Notes     Day 1. 0930 Admission note: Client admitted from the Emergency Department via stretcher and transferred to bed. Client is alert and oriented. Saline lock IV in the R antecubital vein patent. Right lower extremity noted to have 2+ pedal edema, pain 8/10 in right calf. Warmth noted to right calf. Positive Homan’s sign to R lower extremity noted. Client has positive motion and sensation to right lower extremity. Right pedal pulse weak, palpable. R lower extremity elevated on 2 pillows.  VS: BP 145/82, HR 96, RR 16, Temp 36.7C (98F). Client ordered to be on complete bedrest. Client made aware. 1010: Radiology called results of right leg ultrasound: Positive for deep vein thrombosis of the right posterior tibial vein. Provider made aware. New orders pending.   Nurses’ notes have been updated with most recent radiology results. Based on the above scenario, which interventions would be implemented for this patient’s plan of care?