Abdominal pain has shifted to the left upper quadrant.

Lying on side with knees drawn up to abdomen and trunk flexed.

Patient who just returned to the unit after coronary angioplasty and stent placement

Patient with atrial fibrillation scheduled for electrical cardioversion this afternoon

Patient with heart block scheduled for pacemaker insertion this afternoon

Patient with heart failure and deep vein thrombosis receiving an IV infusion of heparin

"The medication should be administered at night to be most effective."

"My child will reach the same height as their peers after the therapy."

"The treatment will stop once my child's bone growth is complete."

"Regular x-rays might be needed during the therapy to track bone growth."

38-year-old with methicillin-resistant Staphylococcus aureus (MRSA)

42-year-old with Clostridium difficile infection

69-year-old with whooping cough (pertussis)

72-year-old with vancomycin-resistant Enterococcus (VRE)

"You need to avoid close contact with others for about 1 week."

"You can be around others once you no longer have a fever."

"You should frequently wash your hands because avoiding close contact is difficult."

"You don't need to worry about close contact if others have had the influenza vaccine."

5% dextrose in 0.9% sodium chloride (D5NS)

flushing the suction catheter with sterile saline after each suction pass

positioning the client in a semi-Fowler's position before suctioning

administering 100% oxygen to the client before inserting the suction catheter

applying intermittent suction while inserting the suction catheter

"Occasionally, I feel a sense of despair."

"I have been in a stable marriage for 5 years and have three kids."

"My family and I attend religious services regularly."

"I own several guns that are kept in a locked cabinet."

"I have been out of work and job hunting for several months."

"It has been a year since I last overdosed on recreational drugs."

"I take omeprazole daily to prevent acid reflux."

"I regularly take ibuprofen for chronic knee pain."

"I occasionally take docusate sodium for bowel irregularity."

"I take hydrochlorothiazide daily to manage my blood pressure."

A nurse is applying gentle pressure to flush a renal pelvis catheter with 5 mL of fluid.

A nursing assistant attaches a urinary drainage bag to the wheelchair handle while transporting a patient.

An indwelling urinary catheter is secured to the patient's upper, inner thigh.

A patient with a urinary diversion device has a total 24-hour oral fluid intake of 2800 mL.

Initiate an IV line with a large gauge needle and begin infusion of isotonic saline.

Collect blood specimens for typing, crossmatching, and hemoglobin determination.

Remove any restrictive garments to promote blood flow.

Secure the impaled scissors in place using sterile, bulky dressings.

4-year-old diagnosed with scabies who has red burrows and bumps along the neckline and inner elbows

7-year-old diagnosed with measles who has a fever, conjunctivitis, cough, and maculopapular rash

12-year-old with a positive rapid influenza test who has a fever, cough, and runny nose

14-year-old with a 4-inch wound on the inner aspect of the thigh with a positive culture for methicillin-resistant Staphylococcus aureus

A preschool-age child with a harsh cough, expiratory wheezes, and mild intercostal retractions

A toddler playing with small toys who appears in distress, has circumoral cyanosis, and cannot speak

A toddler with a barking cough, occasional inspiratory stridor, and oxygen saturation of 94% on room air

An infant with an axillary temperature of 100.1 F (37.8 C) who is pulling at the left ear

"I had sexual intercourse with my male partner an hour before coming in today."

"I have felt continuous wetness in my underwear since I thought my water broke."

"It's hard for me to tell if my water broke or if I just leaked urine a bit."

"In my last three pregnancies, my water never broke on its own."

Urine output of 90 mL over the past 4 hours

Warm extremities with weak bilateral pedal pulses

Inquire if the client has a living will from the sibling.

Ask the spouse about the client's medical care preferences.

Notify the spouse that the client needs emergency intubation.

Seek guidance from the sibling regarding medical care decisions.

Send the client to ICU to "hold" in the hallway

Wait until the resident has time to request the transfer

Platelet count of 210,000/mm3 (210 x 10^9/L)

"I'll make sure my child stays hydrated by drinking plenty of fluids."

"I plan to monitor my child's blood sugar levels more often than usual."

"I intend to check my child's urine for the presence of ketones periodically."

"I'll reduce the regular insulin dosage if my child isn't eating as much."

Metabolic acidosis with compensatory hyperventilation

Metabolic alkalosis with compensatory hypoventilation

Respiratory acidosis with hypoventilation

Respiratory alkalosis with compensatory hyperventilation

Metformin should be taken empty stomach before evening meal

Metformin has higher hypoglycaemic risk than Sulphonylurea

Body appearance will not change from year to year

Decreasing amount of body fat and muscle mass

Patient who is 3 days postoperative from a bowel resection and is now experiencing dyspnea and chest discomfort.

Patient who is 3 days postoperative from a right knee arthroplasty and is now presenting with fever and cough.

Patient who has recently arrived from the post-anesthesia care unit (PACU) 15 minutes prior.

Patient with renal calculi reporting intense pain in the flank area and requesting analgesia.

Request a colleague to temporarily take over care of the patients until the delayed nurse arrives.

Prepare a recorded handover and leave a contact number for any follow-up questions.

Inform the supervising nurse about the urgent departure and the need for patient care coverage.

Compose a written summary regarding the patients for the nurse who is expected to arrive later.

Ensure consistency by assigning the same healthcare providers to the child daily.

Refrain from discussing the grandparent's death when the child is around.

Stress to the parents the significance of their presence with the child.

Allocate daily time for the child to engage in play activities suitable for their age.

"Should you become pregnant, contact your healthcare provider immediately to discuss the discontinuation of your beta-blocker therapy."

"Considering your condition, it's advisable to postpone pregnancy until later in life when it's safer."

"Consistent use of a dependable contraceptive method is crucial for your health."

"Marfan syndrome does not have a genetic component that could affect your offspring."

"We intend to get an air cleaner with a HEPA filter to reduce allergens."

"We plan to leave the windows open during the day to freshen up the home."

"We will use anti-allergy covers for our child's bedding and pillows."

"We'll regularly use a moist cloth to wipe down our hardwood floors."

"We're considering taking out the carpeting in our child's room."

"Both parents must carry the mutated gene for their children to be at risk of developing the condition."

"It is more common for female children to be affected by the genetic transmission of cystic fibrosis."

"Only male children will inherit the disorder if the mother is a carrier of the gene mutation."

"Cystic fibrosis' genetic transmission can skip generations."

"You should continue attempting to conceive for a full year before considering a fertility assessment."

"Discussing the timing of your sexual intercourse is important, as proper timing can significantly increase the chances of conception."

"Focusing on the positive aspects of your life might help in coping with the negative feelings you're experiencing."

"Please share more about how this situation has impacted you personally and your relationships."

A 25-year-old client describes experiencing a malodorous, fish-like vaginal discharge for several weeks.

A 30-year-old client with an intrauterine device is concerned about increased menstrual flow.

A 40-year-old client with a history of endometriosis complains of ongoing dyspareunia.

A 60-year-old client mentions ongoing abdominal bloating and a sensation of pelvic fullness for a couple of months.

Inject EPO into the patient's ventrogluteal site.

Measure the patient's blood pressure before giving EPO.

Consult with the healthcare provider to verify the iron sucrose order.

Withhold EPO and report the patient's lab values to the healthcare provider.

Obtaining a blood sample for electrolyte and glucose levels

Inserting an additional wide-bore IV line

Investigate the significance of the client's delusional thoughts.

Concentrate on the client's emotional response to the delusions.

Softly challenge the reality of the client's delusional beliefs.

Use rational arguments to counteract the client's delusional thoughts.

Refrain from offering the infant a soother.

Wrap the infant snugly and provide gentle rocking.

Position the infant on their back following meals.

Intermittently expose the infant to bright light as a form of stimulation.

Administering Metronidazole 500 mg intravenously every 8 hours

Insertion of a Nasogastric (NG) tube for decompression

Maintaining a Nothing by mouth (NPO) status

Scheduling for a barium enema the following morning

A patient who was admitted 12 hours earlier due to a severe asthma attack and is scheduled for an intravenous dose of methylprednisolone.

A patient who was admitted 48 hours ago with heart failure and is currently experiencing dyspnea, having recently received an additional dose of furosemide.

A patient who was admitted with an intestinal blockage, now complaining of abdominal pain and swelling, awaiting nasogastric tube insertion.

A patient who underwent cardiac valve replacement 8 days prior, readmitted for a sternal wound infection, requiring antibiotic therapy and a wound dressing change.

Record a detailed account of the injury's circumstances

Inquire about the infant's sleeping arrangements with the caregiver

Notify the appropriate authorities as per the hospital's policy

Temporarily separate the caregiver from the infant

The patient consumed a hearty breakfast on the day of the procedure.

The patient reports an allergy to iodine-based antiseptics.

The patient adhered to their routine cardiac medication regimen prior to the appointment.

Adopt a diet low in saturated fats and sodium

Engage in regular physical activity and achieve weight reduction

Comply with prescribed antihypertensive medication regimen

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