Assessing: Treatment for Bleeding duodenal ulcer

A patient is admitted to the medical floor after an endoscopic chemical sclerosis to treat a bleeding duodenal ulcer. Which assessment findings cause the nurse to suspect the patient is continuing to bleed from the ulcer?

Dark green emesis
Stool with streaks of bright red blood
Stool is black and stickey
Patient reports abdominal pain after eating
Ms. Nokwanko is two hours post cardiac catheterization via the right femoral artery. The sheath was removed immediately after the procedure and a transparant dressing applied to the insertion site. Ms. Nokwanko is now on a continuous integriln infusion. While doing the assessment, the nurse notices new swelling and bruising at the right groin that was not present at the last assessment. How does the nurse respond?

Assess the patient's pedal pulses
Assess the patient's pedal pulses
Assist the patient to turn to the left side
Apply direct pressure to the femoral insertion site for at least 5 minutes
Prop the patient's right leg up on pillows
A client asks the home care nurse to assist him with his peritoneal dialysis. The client has had chronic renal failure for 4 years and has been doing his own peritoneal dialysis at home for the past month. He is concerned that he may have peritonitis and wants the nurse to do an assessment. Which assessment finding makes the nurse suspect that the patient may be developing peritonitis?
: The patient has a fever
There is a small amount of dried blood around the dialysis catheter insertion site
The patient reports abdominal cramping when the dialysate solution is instilled
The patient has a fever
A patient with type 1 is brought to the emergency department by ambulance with diabetes-related ketoacidosis (DKA).
Vital signs: BP 100/70; HR 100 sinus tachycardia; RR 32; SpO2 100% on room air; T 99 f
Labs on arrival:
o Na 140
o K 3.8
o Cl 110
o CO2 13
o Glucose 380
The nurse places 2 peripheral IV lines and starts the patient on a continuous insulin infusion."""
What other provider orders does the nurse anticipate for this patient?
Select ALL that apply

Check blood glucose Q 1 hr
0.9% NaCl IV infusion
Chec k blood glucose Q 1 hr
3% NaCl IV infusion
0.9% NaCl IV infusion
Add bicarbonate to the IV fluid
A client is scheduled to begin outpatient external beam radiation treatments for prostate cancer. Which topics should the nurse include when discussing after treatment care with the client?
.
That the treatment may cause bladder inflammation and painful urination
To notify the provider if the client experiences any fatigue

That the treatment may cause bladder inflammation and painful urination
How to prevent the skin in the affected area from getting wet
Steps for proper disposal of urine and feces to avoid radioactive contamination of the home
Thomas Majaliwa is a 50-year-old male who had an open reduction, internal fixation of a left femur fracture. He was in the post-anesthesia recovery unit for 2 hours and then admitted to the surgical floor. On admission, Mr. Majaliwa was alert, oriented and comfortable after receiving 2 mg of IV morphine. His dressing was dry and intact and a hemovac drain had collected a small amount of dark red blood. Vital signs: BP 130/80; HR 80 regular; RR 16; SpO2 99% on room air; T 98.6 f
The nurse now finds Mr. Majaliwa confused and groggy with slurred speech. The collection chamber of the hemovac drain is filled with 400 mL of bright red blood and there is a pool of blood on the floor at the side of the bed.
Current vital signs: BP 80/40 (53); HR 130 regular; RR 32; SpO2 100% on room air
What is the nurse’s priority action?
: Notify the surgical team
Empty the hemovac collection chamber
Administer naloxone (Narcan) IV
- Notify the surgical team
The RN in rehabilitation hospital is completing a morning assessment on a 75-year-old female client who is recovering from an ischemic stroke. Neurologic deficits include R upper extremity and facial weakness, and mild expressive aphasia that causes some hesitant speech and word-finding difficulty. The client reports feeling frustrated by the slow progress she is making in rehabilitation. She says, "I'm too weak and out of breath."
Vital signs: BP 110/70; HR 68; RR 24; SpO2 96% on room air; T 99F
What is the most important question for the nurse to ask the client?

"What difficulties have you had with physical therapy?"
Answers:
"Have you had any difficulty with eating?"
"Do you want to reduce your hours of physical therapy?"
"Do you need a picture board to communicate?"
"What difficulties have you had with physical therapy?"