The nurse is caring for assigned clients. The nurse should immediately follow up on the client withA. chronic obstructive pulmonary disease (COPD) and has respiratory acidosis on the most recent arterial blood gas (ABG).B. atrial fibrillation taking prescribed warfarin and reports black, tarry stools.C. diabetes mellitus who refuses to eat following the administration of glargine insulin.D. acute pancreatitis and reports nausea with epigastric pain rated as a 3 on the Numerical Rating Scale.

72) A nurse is reviewing the health records of clients. Which client is at least risk fordeveloping acute respiratory distress syndrome (ARDS)?(a) A client who experienced a near-drowning incident in freshwater(b) A client following coronary artery bypass graft surgery(c) A client who has a hemoglobin of 10.1 mg/dL post 1-unit PRBC(d) A client who is experiencing acute pancreatitis and vomiting

A nurse is caring for several clients at risk for overhydration. The nurse assesses the older client with which finding first?*1 pointa. Has had diabetes mellitus for 12 yearsb. Uses sodium-containing antacids frequentlyc. Just received 3 units of packed red blood cellsd. Had abdominal surgery and has a nasogastric tube

A client with congestive heart failure (CHF) is being discharged with a new prescription for captopril (Capoten), an angiotensin-converting enzyme (ACE) inhibitor.  The nurse's discharge instruction should include reporting which problem to the health care provider? *1 pointA. Weight loss.B. Dry persistent coughC. Muscle cramps.D. Dry mucus membranes

The nurse administers bumetanide to a client with pulmonary edema. Which assessment would indicate that the client is experiencing an adverse response?A. Distended neck veinsB. Adventitious lung soundsC. Leg crampsD. Increase in urine output

A 51-year-old woman comes to the office because of fatigue and progressive exertional dyspnea during the past several months. She has not had fever, cough, chest pain, palpitations, or weight loss. She has a history of type 2 diabetes mellitus and hyperlipidemia and takes glyburide and simvastatin. Screening colonoscopy 1 year ago showed no abnormalities. The patient does not smoke cigarettes, drink alcohol, or use illicit drugs. BMI is 32 kg/m2. Her temperature is 37.0°C (98.6°F), pulse is 92/min, respirations are 12/min, and blood pressure is 115/70 mm Hg. Pulse oximetry on room air shows an oxygen saturation of 99%. Physical examination shows mucosal and conjunctival pallor. The lungs are clear to auscultation. Cardiac examination discloses no murmurs. The abdomen is nontender to palpation. No peripheral edema is noted. Laboratory studies show:Hemoglobin 8.8 g/dLMean corpuscular volume 79 μm3Leukocyte count 6,300/mm3Platelet count 210,000/mm3Reticulocyte count 0.4%Hemoglobin A1c 7.8%Serum   Sodium 140 mEq/L   Potassium 4.3 mEq/L   Creatinine 0.9 mg/dL   Thyroid-stimulating hormone 1.2 μU/mLTest of the stool for occult blood is negative. Chest x-ray shows no abnormalities. Which of the following is the most likely underlying pathophysiology causing anemia in this patient?A. Acquired inhibition of aminolevulinic acid synthaseB. Immune-mediated hemolysisC. Increased erythrocyte recycling by macrophagesD. Intermittent nocturnal hypoxemiaE. Release of inflammatory cytokines