A homecare nurse is following up with a woman who is 7 days post-op right total mastectomy surgery for breast cancer. The nurse’s priority assessment is focused on which of the following complication?

The nurse is completing an admission assessment on a client and notes an asymmetrical shaped lesion with blurred borders and inconsistent coloring.  The nurse suspects that the client may have developed which of the following?

You are planning care for a client receiving the first treatment of external beam radiation treatment for prostate cancer. The nurse develops a teaching plan based on the nursing diagnosis of knowledge deficit. The nurse includes which of the following in the teaching plan to maintain skin integrity?

A nurse is caring for a client with a history of gastrointestinal bleeding, sickle cell anemia and a platelet count of 20,000/mm3. Client complains of pain 10 out of 10 and is scheduled to receive morphine sulfate, has tented skin turgor, dark amber urine and shortness of breath. The HCP has prescribed the orders below.  Which order is most important for the nurse to question the HCP about?

The following are the labs results for a client who completed their chemotherapy treatment.  The nurse expects that the oncologist will follow which course of priority action in relation to the client’s lab results?   Hemoglobin:           11.0 g/dL Hematocrit:             33% Platelet Count:       120,000/mm3 WBC:                     800/mm3  

A nurse is developing an educational program to teach a group of adolescents about sexually transmitted infections (STIs). What would the nurse inform the group about the single greatest risk factor contributing to the transmission of an STI?

A 25-year old client who was recently diagnosed with testicular cancer is scheduled to begin chemotherapy.  In client teaching, the nurse’s priority information should include which of the following about sexual function?

Which physical assessment finding in a client with emphysema, left lower lobe pneumonia and copious secretions directly supports the nursing diagnosis of Ineffective Airway Clearance?  

A client has recently returned to the unit from PACU following a vaginal hysterectomy due to fibroids.  The nurse anticipates that her priority assessment intervention would be?

The nurse is caring for a client with a history of urinary retention that reports pain in the suprapubic area of 7/10.   The nurse’s assessment reveals that the abdomen is distended, the client has not voided in 4 hours, and a bladder scan of 300 mL. What is the next intervention?