The nurse has just finished assisting the health care provider (HCP) with a thoracentesis for a patient with recurrent left pleural effusion caused by lung cancer. The thoracentesis removed 1800ml of fluid. Which patient assessment information is most important to report to the HCP?

Use the following Case Study to answer Questions 1 – 3: Ms. Nightingale is a 20 year old nursing student, has been brought to the emergency room (ER) by her roommate, who is a pharmacy student and a family friend.  Ms. Nightingale reports abdominal pain, polyuria, vomiting, and thirst.  She appears flushed and her lips and mucous membranes are dry and cracked.  Her skin turgor is poor, respirations are deep and rapid.  There is a fruity odor to her breath.  She has type 1 diabetes and “may have skipped a few doses of insulin because of cramming for complex care finals.” She is alert and conversant but is having trouble focusing on the nurse’s questions. Ms. Nightingale vital signs and blood glucose are as follows: Blood glucose level                                       685mg/dL Blood pressure                                              100/60 mmHg Heart rate                                                      120 beats/min Respiratory rate                                              32 breaths/min Temperature                                                   100.8F (38.2C)

The nurse is assessing a 13-year-old boy.  Which physical change indicates that male puberty has begun?

An adolescent has just had a generalized seizure and collapsed in the school nurse’s office. When should the nurse call 911?

The nurse is caring for a baby with probable intussusception. He had diarrhea before admission, but while waiting for the barium enema, he passes a red, “jelly-like” stool. Which of the following is the most appropriate action by the nurse?

The nurse points out which physiological change in the toddler does not serve as protection against disease?

The mid-term and the final exams require proctoring on a Wallace campus or by a proctoring service. The student will need to communicate the preference of the exam setting and proctoring service with the course instructor.  

A nurse increases activity for a patient with an admitting diagnosis of acute coronary syndrome. Which symptoms experienced by the patient best support a nursing diagnosis of activity diagnosis? 

A patient has difficulty walking. A primary care physician is conducting a neurological assessment.  The nurse informs the patient that which assessment procedure was done to test the functioning of the cerebellum? 

Which assessment findings for a patient who is status post-thyroidectomy should direct a nurse to check the patient’s serum calcium level?