A nurse in the emergency department is assessing a client who reports abdominal pain that began around the umbilicus 8 hours ago and has now moved to the right lower quadrant. The client reports nausea and loss of appetite. Which assessment finding support the nurse’s suspicion of acute appendicitis? 

A nurse is caring for a client who just underwent a transsphenoidal hypophysectomy. While assessing the client, the nurse notes clear nasal drainage from the right nostril. Additionally, what should the nurse assess for? 

A nurse on a medical-surgical unit is caring for a client with a history of untreated hyperthyroidism. The client becomes acutely restless and confused. Assessment findings include a temperature of 104.2°F (40.1°C), heart rate 148/min, blood pressure 168/92 mmHg, and profuse diaphoresis.  What is the nurse’s priority action?

A client with Graves’ disease reports palpitations, anxiety, and difficulty sleeping. Vital signs show heart rate 112/min, BP 154/88 mmHg, and temperature 98.5°F. The nurse notes fine tremors of the hands. Which is the nurse’s priority action?

Which intervention is most effective in preventing aspiration pneumonia in a patient receiving tube feedings?

The difference between attenuated and nonattenuated images in PET is that __________________ 

You are the nurse on a medical-surgical unit caring for a 68-year-old client with a history of diverticulosis. The client reports increasing left lower quadrant abdominal pain over the past 24 hours. Vital signs are: temperature 102.4°F (39.1°C), heart rate 110 bpm, blood pressure 138/82 mmHg, and respiratory rate 22/min. On abdominal assessment, you note rigidity, tenderness, and rebound pain in the left lower quadrant. 

A patient with a newly applied fiberglass cast to the lower leg is being assessed by the LPN at the beginning of the shift. Which assessment finding requires immediate action?

Which statement by the patient diagnosed with acute bronchitis indicates a need for further education?

Which assessment finding in a patient with pneumonia indicates worsening hypoxemia?