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.
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 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.
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 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.
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.
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.
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.
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.