The nurse performs a postoperative assessment of

The nurse performs a postoperative assessment of a client following an abdominal gunshot wound repair and finds the dressing saturated with blood with petechia observed on the extensor surfaces of the extremities: Current blood pressure is 80/40 mm Hg and heart rate is 130 beats/minute. Which laboratory result should the nurse expect to find confirming the presence of disseminated intravascular coagulopathy (DIC)? Reduced prothrombin time (PT) Positive d-Dimer. Elevated platelets Increased fibrinogen. 2. nurse is managing the care of a client with Cushing’s syndrome. Which interventions should the nurse delegate to he unlicensed assistive personnel (UP)? (Select all that apply.) A Evaluate the client for sleep disturbances B Weigh the client and report any weight gain C Note and report the client’s food and liquid intake dung meals and snacks D Report any client complaint of pain or discomfort E Assess the client for weakness and fatigue: 3 A client with a history of type 1 diabetes mellitus (DM) and asthma is readmitted to the unit for the third time in two months with a current fasting blood sugar (FBS) is 325 mg/dL (18 mmol/L). The client describes to the nurse of not understanding why the blood glucose level continues to be out of control. Which interventions should the nurse implement? (Select all that apply.) A Have the client describe a typical day at work, home, and social activities. B Determine if the client is using a new insulin needle each administration. C Ask the client if they want a different manufacturer’s glucose monitoring device D Have the client demonstrate technique used to monitor blood glucose levels E Evaluate the client’s asthma medications that can elevate the blood glucose. 4. The nurse administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication’s effectiveness, which laboratory values should the nurse monitor? (Select all that apply.) A Serum potassium. B Sputum culture and sensitivity C Red blood cell (RBC) count D Urinalysis E White blood cell (WBC) count. B Blood urea nitrogen (BUN). The nurse is preparing a client who had a below-the-knee (BKA) amputation for discharge to home. Which recommendations should the nurse provide this client? (Select all that apply.) A Wash the stump with soap and water B Avoid range of motion exercises C Apply alcohol to the stump after bathing D Inspect skin for redness. E Use a residual limb shrinker SCIENCE HEALTH SCIENCE NURSING NURSING 213

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