Nursing Process Questions

A patient�s serum sodium is within normal range. The nurse estimates that serum osmolality should be:

The patient is dangling at the bedside and states, �Oh, my stomach is tearing open.� Which of the following actions should the nurse immediately take when dehiscence occurs?

The standing orders for a patient include acetaminophen 650 mg every 4 hours prn for headache. After assessing the patient, the nurse identifies the need for headache relief and determines that the patient has not had acetaminophen in the past 4 hours. Which action will the nurse take next?

A client is admitted to an acute care facility with a myocardial infarction. During the admission history, the nurse learns that the client also has hypertension and progressive systemic sclerosis. For a client with this disease, the nurse is most likely to formulate which nursing diagnosis?

Which of the following conditions is suspected?