The nurse working in an emergency outpatient clinic admits a diabetic client with an irregularly shaped red area on the calf of the leg that is hot to touch, painful, and edematous with red streaks found traveling from the red area up the back of
the thigh. The nurse anticipates what diagnosis? 1. Venous stasis ulcer
2. Cellulitis
3. Peripheral vascular disease
4. Gangrene
2
Rationale: This client most likely has cellulitis, which can occur in any client but is often seen in diabetic clients. Prompt treatment with antibiotics is indicated because it can result in septicemia if not treated aggressively.
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A nurse is caring for a patient who is in the diuresis phase of AKI. The nurse should closely monitor the patient for what complication during this phase?
A) Hypokalemia B) Hypocalcemia C) Dehydration D) Acute flank pain
You are the nurse caring for a 72-year-old female who is recovering from abdominal surgery on the medical-surgical unit
The surgery was very stressful and prolonged, and you note on the chart that her blood sugars are elevated, yet she has not been diagnosed with diabetes. To what do you attribute this elevation in blood sugars? A) It is a result of antidiuretic hormone. B) She must have had diabetes prior to surgery. C) She has become a diabetic from the abdominal surgery. D) The blood sugars are probably a result of the "fight-or-flight" reaction.
A military veteran is diagnosed with heart disease. With this medical history and a military background that included two tours of duty in a combat zone abroad, the nurse assesses for related psychiatric disorders by asking: (Select all that apply
) a. "When was the last time you accidentally hurt yourself?" b. "Have you ever experienced a migraine headache?" c. "Do you have problems falling asleep at inappropriate times?" d. "Can you describe your usual pattern of bowel elimination?" e. "Would you describe yourself as forgetful or absentminded?"
What criteria does the nurse use to evaluate to determine if an infant's regurgitation, or spitting up, should be further investigated?
1. How often the baby spits up 2. How much the baby spits up at a time 3. If the baby is gaining weight adequately 4. The consistency of the regurgitated matter