The nurse notes a client’s bilirubin level is 2.5 mg/dL (42.8 μmol/L). Which assessment is most relevant for the nurse to perform based on these results? The nurse should assess the client’s:

A client has been diagnosed with possible IgA nephropathy. The nurse will educate the client about which essential diagnostic test to confirm this diagnosis?

An ultramarathon runner is admitted following a day-long, 50-mile (80-kilometer) race because urinary volume is drastically decreased and the urine is dark red. What is the likely cause of the red urine?

A nurse is providing care for a client who has had a cast applied to her fractured arm 6 hours prior. The client is now reporting severe pain that she describes as “even worse than when I broke my arm.” What would be the nurse’s best course of action?

A nurse on a medical unit is providing care for a 37-year-old female client who has a diagnosis of Graves disease. Which treatment would the nurse most likely anticipate providing for the client?

Which laboratory value result correlates to the development of diabetic glomerulosclerosis?

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?