A 43-year-old male client has presented to the emergency department with vomiting that he claims is of a sudden onset. The client also states that the emesis has often contained frank blood in the hours prior to admission. His vital signs are stable with temperature 98.3°F (36.8°C), pulse 88, BP 140/87, and respiratory rate 18. Which potential contributing factor would the health care team suspect first?

A 64-year-old man was diagnosed 19 months ago with bilateral osteoarthritis (OA) in his knees, and has come to his family physician for a checkup. The client and his physician are discussing the effects of his health problem and the measures that the man has taken to accommodate and treat his OA in his daily routines. Which statement by the client would necessitate further teaching?

A frantic parent reports a large mass in the child’s abdomen; after diagnostic testing, the health care provider diagnoses a Wilms tumor, stage IV. After the provider leaves the room, the parents ask the nurse, “What does this mean?” Which response by the nurse is most accurate?

An adolescent male with type 1 diabetes is exasperated by his regimen of blood sugar monitoring and insulin administration, and has told his mother that he wants to scale both back. Which response by his mother is most accurate?

An adult diagnosed with renal failure secondary to diabetes mellitus is scheduled to begin dialysis soon. Which statement by the client reflects an accurate understanding of the process of hemodialysis?

A client who suffered a stroke is having difficulty swallowing food and beverages. The client complains that it feels like “the food is sticking to the back of my throat.” Given this information, the priority nursing interventions would be to:

A female client presented to her primary care physician with classic signs/symptoms of Cushing syndrome. Upon testing, it was discovered that the client had vaginal small cell carcinoma. How can the health care providers explain the Cushing syndrome signs/symptoms to this client?

A 29 year-old female has been admitted to the emergency department following a suicide attempt by overdose of acetaminophen. What physiologic changes in the client’s liver and accompanying altered diagnostic results does the nurse anticipate?

A 22 year-old student has developed a fever and diarrhea while on a backpacking trip in Southeast Asia. His oral temperature is 101.4°F (38.6°C). The diarrhea is bloody, frequent, and small in volume. These clinical manifestations are distressing enough that he is visiting a local medical clinic in the area. Which diagnosis best characterizes this health problem?

A hemodynamically stable and conscious client is brought into the emergency department after a crush injury to the pelvis from all-terrain vehicle (ATV) rollover. What action should the nurse prioritize?