The assessment of a client admitted with increased ascites related to cirrhosis reveals the following: pulse 86 beats per minute and weak, respirations 28 breaths per minute, blood pressure 130/88 mm Hg, and pulse oximetry 90%. Which nursing diagnosis should receive top priority

Sam and joan have been married for 25 years and have three children: max, who is 23; janet, who is 19; and sarah, who is 15. janet has just been diagnosed with a mental illness. describe the objective and subjective burdens each family member may experience. describe the meaning this diagnosis may have to janet’s parents, younger sibling, and older sibling.

Anurse is teaching a client who has a new prescription for nitroglycerin patches. the nurse should identify which of the following statements as an indication that the client understands the teaching? a. “i will move the patch to my leg if i get a headache.” b. “i will rotate the application site to avoid skin irritation.” c. “i will apply a new patch if i have chest pain.” d. “i cannot take a sublingual tablet of nitroglycerin after applying the patch.”

Aclient’s transdermal fentanyl was discontinued 2hr ago due to adverse effects. which of the following findings is the priority for the nurse to document? a. heart rate b. respiratory rate c. bowel sounds d. activity level