Exam 1: Adult Health

A 62-year old client was admitted to the telemetry unit after having an acute myocardial infarction 3 days ago.  The client reports to the nurse that the left calf is very tender and feels warm to the touch.  Which assessment by the nurse is the priority?

The nurse plans discharge teaching for a client with active herpes lesions who has a new prescription for oral acyclovir and topical lidocaine.  What information will the nurse include in the teaching plan?

In the intensive care unit, the nurse cares for a client who has been admitted with diabetic ketoacidosis.  The client is on a continuous infusion of regular insulin at 5 units/hr via IV pump.  Which action should the nurse expect to implement?

The emergency department nurse performs an admission assessment for a client with priapism of about 3 hours duration who also has sickle cell anemia.  What assessment finding is of most concern and warrants immediate notification of the health care provider?

The nurse caring for a client with left lobar pneumonia responds to an alarm from the continuous pulse oximeter.  The client is short of breath with an oxygen saturation of 78%.  After applying oxygen, the nurse should place the client in which position to improve oxygenation?

The charge nurse of the emergency department (ED) is mentoring a new registered nurse (RN).  They are caring for a client who has a chest tube connected to wall suction for a pneumothorax.  The client is being transferred from the ED to the telemetry unit.  Which action by the new RN would cause the charge nurse to intervene?

The nurse educates a 30-year-old female client who is being evaluated for hyperthyroidism with a radioactive iodine uptake (RAIU) test.  Which instruction(s) should the nurse include in the teaching plan?  Select all that apply.

The nurse is caring for a client diagnosed with Guillain-Barré syndrome (GBS) after a recent gastrointestinal (GI) illness.  Monitoring for which of the following is a nursing care priority for this client?