During assessment of a client with systemic lupus erythematosus (SLE), the nurse hears a friction rub when the stethoscope is placed over the heart. Which complication of SLE will the nurse document in the medical records and report to the health care provider?
Read DetailsA 56-year-old female with a diagnosis of breast cancer has developed bone metastases that her oncologist would like to treat with radiation therapy. What is her physician’s most likely primary goal in the treatment plan of the metastases?
Read DetailsA 53-year-old woman with a history of chronic alcohol abuse but without visible jaundice comes to the clinic complaining of nausea and weakness. She admits to taking acetaminophen for persistent headaches but denies exceeding the recommended daily dose; she has not taken any other medications. She is suspected of having acetaminophen toxicity. Which diagnostic test finding would implicate a different cause of her symptoms?
Read DetailsA 60 year-old man has long managed his type 1 diabetes effectively with a combination of vigilant blood sugar monitoring, subcutaneous insulin administration, and conscientious eating habits. This morning, however, his wife has noted that he appears pale and clammy and appears to be in a stupor, though he is responsive. She suspects that he has made an error in his insulin administration and that he is experiencing a hypoglycemic episode. Which action should be the wife’s first choice?
Read DetailsA nurse is caring for a group of clients and reviewing the recent laboratory values and medical charts. What adult client(s) is exhibiting early manifestations of prerenal acute kidney injury (AKI), which should be reported to the health care provider? Select all that apply.
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