A client taking a new blood pressure medication reports feeling lightheaded. What is the nurseu2019s best initial action?
Lightheadedness can occur due to hypotension. Checking the clientu2019s blood pressure determines whether medication adjustments are needed.
While reviewing wound care instructions, the client asks how often to change the dressing. What should the nurse say?
Dressing changes depend on provider instructions and wound condition. Reinforcing this prevents improper wound care.
The nurse is caring for a client who has not had a bowel movement in three days. Which action should the nurse take first?
Assessing bowel sounds helps determine motility issues and guides appropriate interventions.
The nurse notes that a client receiving oxygen by nasal cannula has dry nasal passages. What should the nurse do first?
Dryness can occur when oxygen is delivered without humidification. Adding humidification helps prevent mucosal irritation.
A client with diabetes reports cold, clammy skin and shakiness. What should the nurse do first?
Cold and clammy skin indicates possible hypoglycemia. Providing a fast-acting carbohydrate raises glucose quickly.
A postoperative client reports nausea. What should the nurse do first?
Nausea may be related to anesthesia or medications. Assessing the severity helps determine whether medication or non-pharmacological treatment is needed.
A client with a respiratory infection has thick sputum. Which intervention is most helpful?
Fluids help thin secretions, making them easier to expectorate and improving airway clearance.
A client with a new leg cast reports increasing pain unrelieved by medication. What should the nurse do first?
Unrelieved pain may indicate compromised circulation or compartment syndrome. Assessing neurovascular status is essential.
The nurse is reinforcing teaching for a client prescribed a liquid antibiotic. Which statement shows understanding?
Shaking liquid antibiotic suspensions ensures proper mixing and accurate dosing.