A client with a urinary catheter develops cloudy, foul-smelling urine. What should the nurse do first?
Cloudy, foul-smelling urine may indicate infection. Assessing the urine characteristics and notifying the provider ensures proper treatment.
A client prescribed a beta blocker reports feeling unusually tired. What should the nurse do first?
Fatigue may be a sign of bradycardia from beta blockers. Checking the clientu2019s pulse helps determine if the medication is causing a slow heart rate.
A client with a gastrostomy tube reports nausea during the feeding. What should the nurse do first?
Pausing the feeding prevents further discomfort and allows the nurse to assess tolerance, positioning, and residuals.
A postoperative client reports increasing incisional pain. What should the nurse do first?
Assessing the surgical site ensures no complications such as infection, bleeding, or dehiscence.
A client with hypothyroidism reports feeling unusually cold. Which explanation should the nurse provide?
Feeling cold is a common symptom of hypothyroidism due to slowed metabolism.
A client receiving steroids asks why blood glucose monitoring is required. What is the nurseu2019s best response?
Steroids can increase blood glucose levels, even in clients without diabetes, requiring monitoring.
A diabetic client asks why foot care is important. What is the nurseu2019s best explanation?
Diabetes can decrease sensation in the feet, increasing the risk of unnoticed injuries and infections.
While assessing a client with dehydration, the nurse notes poor skin turgor. What should the nurse do first?
Poor skin turgor is a classic sign of fluid deficit. Checking vital signs helps determine the severity and identify potential hemodynamic instability.
A client receiving an opioid reports intense itching. What should the nurse do first?
Itching can be a common opioid side effect related to histamine release. Assessing severity helps determine if medication or alternative therapy is needed.