The nurse is preparing to administer lithium [Lithobid] to a patient. The nurse will include which of the following nursing implications? Select all that apply. Monitor lithium levels to ensure that they remain within the therapeutic range 2 to 4 mEq/L. Sodium deficiency can cause lithium to accumulate. Instruct patients to maintain normal sodium intake. […]

You are treating a 16-year-old patient that states that she has fear of social situations, including going to the grocery store and going to church. She reports that any contact with strangers will cause her intense and persistent fear. She is always worried about embarrassing herself. Based on this, what diagnosis you suspect? Question 27 […]

Eduardo Roma, a 67-year-old patient, has arrived at the oncology outpatient clinic to receive a dose of chemotherapy for bladder cancer. This is the second time he has received the antineoplastic agent, 5-fluorouracil, and he is complaining of “ulcers in his mouth.” The health care provider checks Eduardo’s blood work from the previous day. She […]

 A 32-year-old female client with a history of hyperthyroidism is brought to the emergency department by their spouse. Nurses’ Notes 0900: Accompanied by spouse, client reports being short of breath and having palpitations. Placed in ER treatment room directly from triage. Alert and oriented x 4 appears restless, anxious, and fatigued. Has flushed skin that […]

Jack, a 20 year old football player who tested positive for COVID-19 two weeks ago, presents to your office requesting a note to clear him to return to football practice. He reports he was at home and had symptoms for about 9 days and has been symptom and fever free for the last 3 days. […]

Arnold is a 49-year-old male who is having a bit of a rough year health-wise. It all started with a traumatic MVA in which he injured his back. After a lumbar laminectomy, he has gained weight and continues to have severe low back pain. He has had some limited physical therapy, but stopped showing up […]

Julia Monroe The client’s chest x-ray results return and show mild cardiac hypertrophy and echocardiogram showed an ejection fraction (EF) of 30% The client has been placed on supplemental oxygen at 4L via NC. The SpO2 is now 95%. Which of the following types of heart failure does the nurse suspect that the client is […]

JJ is a 70 year old African American male with severe osteoarthritis pain. He is currently taking morphine IR 30mg PO q4h. When JJ remembers to take all of his doses of morphine, his pain is well controlled. However, he often forgets to take his medications and ends up in pain crisis. You decide to […]

diferential dignosis for: A 28-year-old woman presents with increased vaginal discharge and a foul odor. She has been in a sexual relationship with a male partner for 1 month. She has a 52 mg progestin IUD for contraception and is not using condoms with her partner. Her past medical history is benign, she has never […]

5. SP is a 50 year old woman with chronic low back pain. She is taking oxymorphone ER 40mg PO BID. She still reports a pain score of 4/10, down from her baseline of 9/10 but up from last month, which was a 2/10. Your supervising physician decides to start an opioid rotation to attempt […]