A client with an ischemic stroke has right-sided weakness and slurred speech.
Which complication should the nurse prioritize monitoring for in the first 24 hours?

The nurse is assessing an intubated client with a deep partial-thickness burn to the right leg and a circumferential full-thickness burn to the chest.
The nurse notes the SpO2 decreasing from 96 percent to 90 percent and high ventilator alarms. Which finding is most concerning to the nurse?

The nurse prepares a continuous aminophylline infusion at 0.3 mg/kg/hr for a client weighing 165 pounds.

The bag is mixed with 500 mg of aminophylline in 250 mL of D5W.

At which rate should the nurse set the pump in mL/hr? Round the answer to the tenths place.

The nurse reviews a preoperative note for a 68-year-old client who is scheduled to have a right anterior Total Hip Arthroplasty (THA). The client has a history of several surgeries including hysterectomy, appendectomy, and cholecystectomy. The client has a 52-pack-year smoking history but quit 2 years ago, a BMI of 30.1, and a history of two deep vein thromboses (DVT). The client also has hypertension controlled by diet and drug therapy, high cholesterol controlled by statins, and GERD controlled by an antacid PRN.
Which assessment findings place the client at risk for a venous thromboembolism (VTE)? Select all that apply.

A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit.
Which of the following room assignments should the nurse make for the client?

The nurse assesses a client with sepsis.
Which evaluations should the nurse include in a focused assessment? Select all that apply.

A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding.
The nurse notes: HR increased from 88 to 118/min over 1 hour, BP decreased from 124/78 to 98/60 mm Hg, urine output is 20 mL/hr, skin is cool and pale, and the client reports incisional pain 6/10. Which finding is the most concerning for hypovolemic shock?

A nurse is caring for an adult client receiving chemotherapy for acute leukemia on the medical-surgical unit. The client reports chills and weakness. Which interpretation by the nurse is most accurate?

A 68-year-old client who had a right Total Hip Arthroplasty (THA) is returning to the orthopedic surgeon's office for a 6-week follow-up visit. While in the hospital recovering from surgery, the client experienced a pulmonary embolism (PE), which was successfully treated.
Based on the nurse's brief assessment, which findings indicate that the client is improving or progressing?

A client with end stage renal disease presents to the emergency department with severe fatigue, palpitations, and muscle weakness.
The electrocardiogram reveals peaked T waves and a widened QRS complex. Which treatment should the nurse anticipate?

A nurse is assessing a client who complains of left shoulder pain after a recent fall.
Which additional symptoms would support the nurse's suspicion of a splenic injury? Select all that apply.