A client taking an iron supplement reports dark stools. What should the nurse tell the client?
Iron causes stools to become dark or black, which is expected and harmless.
A client recovering from surgery reports feeling lightheaded upon standing. What should the nurse do first?
Lightheadedness when standing may indicate orthostatic hypotension. Checking blood pressure helps determine if the drop is significant.
A confused client keeps pulling at their oxygen tubing. What should the nurse do first?
Covering or securing the tubing prevents accidental removal and maintains oxygen delivery.
A diabetic client reports a new wound on the bottom of their foot. What should the nurse do?
Foot wounds in diabetic clients require immediate evaluation to prevent infection or complications.
A client with chronic kidney disease reports decreased urine output. What action should the nurse take first?
Decreased urine output may indicate worsening kidney function or fluid retention. Monitoring intake and output is essential.
A client receiving IV antibiotics develops sudden itching and redness. What should the nurse do first?
Itching and redness may indicate an allergic reaction. Stopping the infusion prevents worsening symptoms.
A client reports dizziness after taking their morning antihypertensive medication. What should the nurse suspect?
Antihypertensive medications can lower blood pressure too much, causing dizziness.
The nurse notices a client with COPD is using abdominal muscles to breathe. What should the nurse do first?
Using accessory muscles indicates increased breathing effort. High Fowleru2019s position improves lung expansion.
During a respiratory assessment, a client with pneumonia has difficulty coughing up mucus. What should the nurse encourage?
Fluids thin secretions, making coughing easier and improving breathing.