An older client presents with central obesity, a buffalo hum…

An older client presents with central obesity, a buffalo hump, and thin extremities.  The client states that she bruises easily, has purple areas on the flank of her abdomen, and has developed acne.  What past medical history/treatments could be the cause of these changes? 

The nurse is assessing a client admitted to the medical-surg…

The nurse is assessing a client admitted to the medical-surgical unit on the night shift. The nurse observes that the client has an enlarged, protruding abdomen and distended veins on the abdominal wall.  Upon physical examination, the nurse detects a shock wave of fluid during palpation and dullness to percussion.  The nurse notes the client is confused and exhibits asterixis. The nurse would anticipate the provider to order what intervention?