The nurse is caring for a client admitted with a diagnosis of acute kidney injury. When reviewing the client’s most recent laboratory reports, the nurse notes that the client’s magnesium levels are high. The nurse should prioritize assessment for what health problem?
A. Diminished deep tendon reflexes
B. Acute flank pain
C. Cool, clammy skin
D. Tachycardia
Answer: A. Diminished deep tendon reflexes
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A nurse assesses a client with diabetes mellitus who self-administers subcutaneous insulin. The nurse notes a spongy, swelling area at the site the client uses most frequently for insulin injection. Which action should the nurse take?
a. Apply ice to the site to reduce inflammation. b. Consult the provider for a new administration route. c. Assess the client for other signs of cellulitis. d. Instruct the client to rotate sites for insulin injection.
The use of a mask when the nurse is closer than 3 feet to a client is required with which type of precaution?
1. Airborne 2. Standard 3. Droplet 4. Contact
A nurse's preadministration assessment for a client about the receive oxymetholone (Anadrol-50) should include which of the following? Select all that apply
A) Weight B) Blood glucose C) Serum lipid levels D) Hepatic function tests E) Pain assessment
What factor would the nurse evaluate as putting the patient at increased risk for converting a partial-thickness burn injury to a full-thickness injury?
1. The patient develops a wound infection. 2. Assessment of the lungs indicates fluid overload. 3. The patient develops pneumonia. 4. The patient's kidney function is compromised.