During a blood transfusion, the client develops chills and back pain. What is the nurseu2019s priority?
Chills and back pain may indicate a transfusion reaction. Stopping the transfusion prevents further reaction.
A client with pneumonia has thick sputum and difficulty coughing. What should the nurse encourage?
Increasing fluids helps thin secretions, making them easier to cough out.
The nurse is reviewing dietary teaching for a client with high cholesterol. Which choice shows correct understanding?
Baked or grilled foods reduce saturated fat intake, helping manage cholesterol levels.
A client with diabetes reports feeling shaky and sweaty. What should the nurse do first?
Shakiness and sweating are classic signs of hypoglycemia. A fast-acting carbohydrate helps quickly raise blood sugar.
A postoperative client reports abdominal bloating. What should the nurse do first?
Abdominal bloating may indicate reduced bowel motility. Assessing bowel sounds helps determine the clientu2019s gastrointestinal status.
A client taking an iron supplement reports dark stools. What should the nurse explain?
Dark stools are a normal and expected side effect of iron therapy caused by unabsorbed iron.
While caring for a client with a fever, the nurse notes flushed skin and sweating. What is the nurseu2019s first action?
Flushed skin and sweating are common with fever. Checking temperature helps determine severity and need for antipyretics.
A client taking a diuretic reports leg cramps. What should the nurse suspect first?
Leg cramps are a common sign of potassium loss, which may occur with diuretics such as furosemide.
The nurse notes a client receiving oxygen has dry, cracked lips. Which action is most appropriate?
Humidified oxygen helps reduce dryness and irritation caused by non-humidified oxygen therapy.