4.A client with Addison's crisis is admitted for treatment with adrenal cortical supplementation. Based on the client's admitting diagnosis, which
... [Show More] findings require immediate action by the nurse?(Select all that apply) a.Headache and tremors b.Irregular heart rate c.Skin hyperpigmentation d.Postural hypotension e.Pallor and diaphoresis
5.An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration that the nurse should report to the healthcare provider? a.Urine specific gravity is 1.040 b.Systolic blood pressure decreases 10 points when standing. c.The client denies being thirsty. d.Skin tenting occurs when the client'sforearm is pinched.
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6.After an inservice about electronic health record (EHR) security and safeguarding client information, the nurse observes a colleague going home with printed copies of client information in a uniform pocket. Which action should the nurse take? a.File a detailed incident report with the specific hiring facility. b.Warn the colleague that their actions are unprofessional. c.Comment anonymously about the action of a staff discussion board. d.Communicate the colleague'sactions to the unit charge nurse.
7.The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease implemented in a rural health clinic. Which outcome indicate the program is effective? a.At-risk clients received an increased number of routine health screenings. b.Clients reported having new confidence in making healthy food choices. c.Clients who incurred disease complications promptly received rehabilitation. d.Client relapse rate of 30% in a 5-year community-wide anti-smoking campaign.
8.The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who uses oxygen at 2 L/minute per nasal cannula continuously. The nurse observes that the client is having increased shortness of breath with respirations at 23 breaths/minute. Which action should the nurse implement first? a.Determine if the client is experiencing any anxiety. b.Auscultate the client'sbilateral lung sounds and oxygen saturation. c.Notify the healthcare provider about the client'sdistress. d.Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
9.Which statement by a client who is 24 hours post-subtotal thyroidectomy requires an immediate investigation by the nurse? a."WhenI get out of bed quickly, I feel a little dizzy."b."Thedressing over my incision feels like it is too tight."c."I'mmost comfortable when the head of the bed is raised."d."ThisIV infusion makes me urinate more often than usual." [Show Less]