A client with chronic kidney disease reports decreased urine output. What should the nurse do first?
Decreased urine output may indicate worsening kidney function or fluid retention. Assessing intake and output helps determine severity.
During morning rounds, a client with COPD appears more lethargic than usual. What should the nurse do first?
Lethargy in COPD clients may indicate COu2082 retention. Checking oxygen saturation helps determine respiratory status.
A client with a fever is prescribed acetaminophen. Which teaching is most important?
Acetaminophen can cause liver damage if taken in excessive amounts. Educating clients on proper dosing ensures safe use.
A client who recently began antidepressant therapy reports increased energy but persistent sadness. What is the nurseu2019s priority?
Increased energy with ongoing sadness may indicate a higher suicide risk, requiring immediate provider notification.
The nurse is caring for a client at risk for pressure injuries. Which action is most important?
Repositioning reduces pressure on bony areas and prevents skin breakdown, which is essential for at-risk clients.
A client with diabetes asks why foot inspections are necessary. What is the nurseu2019s best response?
Diabetes can damage nerves, reducing the ability to feel injuries, which may lead to infections or ulcers.
A client receiving IV antibiotics suddenly develops hives. What should the nurse do first?
Hives may indicate an allergic reaction. Stopping the antibiotic prevents further exposure.
A postoperative client reports severe abdominal pain that is increasing. What should the nurse do first?
Increasing abdominal pain may indicate complications such as bleeding or infection. Assessing the abdomen helps guide urgent intervention.
A client with hypertension reports a persistent dry cough after starting an ACE inhibitor. What should the nurse do?
A dry cough is a common side effect of ACE inhibitors. Reporting it allows the provider to evaluate and adjust the medication if necessary.