, A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most
immediate intervention by the nurse?
A. Serum sodium of 185 mEq/L
B. Dry skin with inelastic turgor
C. Apical rate of 110 beats per minute
D. Polyuria and excessive thirst - A.
The nurse is obtaining the admission history for a client with suspected peptic ulcer
disease. Which subjective data reported by the client supports the medical diagnosis?
A. Frequent use of chewable and liquid antacids for indigestion.
B. Severe abdominal cramps and diarrhea after eating spicy foods.
C. Upper mid-abdominal pain described as gnawing and burning.
D. Marked loss of weight and appetite over the last 3-4 months - C.
The nurse assesses a client who is newly diagnosed with hyperthyroidism and observes
that the client's eyeballs are protuberant, causing a wide-eyed appearance and eye
discomfort. Based on this finding, which action should the nurse include in this client's
plan of care?
A. Assess for signs of increased intracranial pressure.
B. Prepare to administer intravenous levothyroxine
C. Review the client's serum electrolyte values
D. Obtain a prescription for artificial tear drops. - D.
To reduce the risk for pulmonary complication for a client with Amyotrophic Lateral
Sclerosis (ALS), which interventions should the nurse implement? SATA
A. Perform chest physiotherapy
B. Teach the client breathing exercises
C. Initiate passive range of motion exercises
D. Establish a regular bladder routine
E. Encourage use of incentive spirometer. - A., B., E.
A client is hospitalized with heart failure. Which intervention should the nurse implement
to improve ventilation and reduce venous return?
A. Perform Passive range of motion exercises
B. Place the client in High Fowler Position
C. Administer oxygen per nasal cannula
D. Increase the client's activity level. - B
A client who was involved in a motor vehicle collision is admitted with a fractured left
femur which is immobilized using a fracture traction splint in preparation for an open
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