The nurse is assessing a patient with glomerulonephritis and notes crackles in the lung fields and neck vein distention. The patient reports mild shortness of breath. Based on these findings, what does the nurse do next?
a. Check for CVA tenderness or flank pain.
b. Obtain a urine sample to check for proteinuria.
c. Assess for additional signs of fluid overload.
d. Alert the health care provider about the respiratory symptoms.
Answer: c. Assess for additional signs of fluid overload.
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During initial therapy with levothyroxine, the most common reactions a nurse might observe in a client include which of the following? Select all that apply
A) Elevated body temperature B) Weight loss C) Tachycardia D) Hypotension E) Insomnia
A patient recovering from total hip replacement surgery is being transferred to a rehabilitation facility. When discussing this facility with the patient, what should the nurse include?
Select all that apply. 1. An assessment of functional abilities will be completed. 2. The patient should expect to provide all self-care. 3. A team of therapists and nurses will be working with the patient. 4. The focus will include interpersonal relationships and family support. 5. Plans will be made to transition the patient to a long-term care facility.
The nurse receives the following report on four patients on the medical-surgical unit. Which patient will the nurse attend to first?
a. Gait unsteady, uses walker, needs 2-person assist with ambulation b. Abdominal wound is draining foul-smelling fluid, incision margins are red, heart rate 100 beats/min c. Blood pressure 90/50 mm Hg, heart rate 40 beats/min, rates chest pain at 8 on a 0 to 10 pain scale d. Verbalizes history of migraine headaches, eyes closed during assessment interview
Which of the following is an anticancer drug of plant origin:
A. Dactinomycin B. Vincristine C. Methotrexate D. Procarbazine