The nurse is caring for a confused client who keeps pulling at their IV line. What should the nurse do?
Covering the IV site keeps it out of view and reduces the likelihood of interference.
During a pneumonia assessment, the client has thick mucus and difficulty expectorating. What should the nurse do?
Increasing fluids helps thin secretions and improves airway clearance.
A diabetic client reports burning and numbness in the feet. What should the nurse do?
Burning and numbness indicate peripheral neuropathy. Reporting it ensures proper evaluation.
A client with influenza reports new chest discomfort and increased shortness of breath. What should the nurse do first?
Chest discomfort and shortness of breath may suggest worsening respiratory status. Checking oxygen saturation provides immediate assessment.
The nurse is reinforcing teaching for a client prescribed an inhaled steroid. Which statement shows understanding?
Rinsing the mouth after using an inhaled steroid helps prevent oral fungal infections.
A postoperative client has not voided for 7 hours. What should the nurse do first?
Urinary retention is common after surgery. Assessing bladder distention helps determine whether an intervention is needed.
A client prescribed a sedating antihistamine reports feeling drowsy. What should the nurse tell the client?
Sedation is a known side effect; avoiding driving ensures safety.
A client taking a diuretic reports new muscle weakness. What should the nurse suspect?
Muscle weakness is a common sign of low potassium, a potential side effect of many diuretics.
A client reports diarrhea after starting antibiotics. What is the nurseu2019s best initial action?
Antibiotics can disturb gut bacteria. Increasing fluids prevents dehydration.