The nurse walks into a room and finds the client forcefully expelling stomach contents into a wash basin. When documenting this occurrence, the nurse will use the term:
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A 51-year-old female client who is 2 days postoperative in a…
A 51-year-old female client who is 2 days postoperative in a surgical unit of a hospital is at risk of developing atelectasis as a result of being largely immobile. Which teaching point by her nurse is most appropriate?
The nurse suspects the client may have developed partial bil…
The nurse suspects the client may have developed partial bilateral ureter obstruction. What evidence assessment findings support this suspicion? Select all that apply.
The neonatal ICU nurse is aware that type II alveolar cells…
The neonatal ICU nurse is aware that type II alveolar cells produce surfactant and they usually develop at how many weeks’ gestation?
Which hospitalized client is most clearly demonstrating the…
Which hospitalized client is most clearly demonstrating the signs and symptoms of liver failure?
A 3-year-old child with right-sided heart failure has been a…
A 3-year-old child with right-sided heart failure has been admitted for worsening of their condition. Which assessment would be considered one of the earliest signs of systemic venous congestion in this toddler?
The nurse is caring for a group of clients and is reviewing…
The nurse is caring for a group of clients and is reviewing the arterial blood gas results for each. Which client should the nurse assess first? The client with:
A client has been admitted with a fractured pelvis that occu…
A client has been admitted with a fractured pelvis that occurred in an auto accident just a few hours ago. The nurse has noticed a slight change in behavior. Which other clinical manifestations would lead the nurse to suspect the client has developed a fat emboli? Select all that apply.
Four weeks after returning from a tropical vacation, a 40-ye…
Four weeks after returning from a tropical vacation, a 40-year-old man has presented to the emergency department with malaise, nausea, and yellow sclera. Serology has confirmed a diagnosis of hepatitis A (HAV). What teaching is most appropriate for this client?
The nurse assesses a client with renal failure for encephalo…
The nurse assesses a client with renal failure for encephalopathy caused by uremia. Which clinical manifestation will the nurse likely find?