A client with diabetic peripheral neuropathy has been taking pregabalin for 4 days.
Which finding indicates to the nurse that the medication is effective?

A client with delusions tells the nurse, "You aren't doing your job.
Go get those people over there and shoot them before they get me." Which statement is the nurse's best response?

A nurse is documenting the data collected from an ongoing assessment of a client who has diabetes mellitus.
The nurse writes, “The client reports feeling thirsty and hungry all the time.” How should the nurse label this type of data?

Patient Data

The nurse notes that the client’s oxygen saturation is 88% on room air.

What is the priority action by the nurse?

A client has been diagnosed with depression and has a history of suicide attempts.
What intervention is essential for the nurse to implement?

The nurse on the medical-surgical unit is receiving a transfer report from the post-anesthesia care unit (PACU) nurse for a client who had an exploratory laparotomy.

The PACU nurse provides the following information: "1000 mL normal saline is infusing at 125 mL/hr into the left wrist with 600 mL remaining.

Ondansetron 4 mg intravenously every 8 hours is prescribed for nausea.

The last dose was administered at 0700.

The client is currently describing pain at a level 2 on a 0 to 10 pain scale.

The client has a prescription for hydromorphone 1 mg intravenously every 2 hours as needed for pain.

The last dose was administered at 1000." Which additional information should the PACU nurse report?

An older male client is admitted with the medical diagnosis of a possible cerebral vascular accident (CVA). He has facial paralysis and cannot move his left side.

When entering the room, the nurse finds the client's wife tearful and trying unsuccessfully to give him a drink of water.

Which action should the nurse take?

In assessing a client with an indwelling urinary catheter following the provision of care by an unlicensed assistive personnel (UAP), the practical nurse (PN) observes that the catheter drainage bag, which is half- full, is attached to the side rail and the tubing is looped on the bed.

Which action should the PN implement?

After inflating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a Korotkoff sound.
Which action should the nurse take next?

The nurse is planning care for a client who has a fourth-degree midline laceration that occurred during vaginal delivery of an 8-pound 10-ounce (3674 grams) infant.

Which intervention has the highest priority for this client?

The nurse interviews a client admitted for an outpatient procedure and enters a long list of home medications into the medical record.

The nurse observes several medications that are prescribed for the same indications.

Which instruction is best for the nurse to communicate to the client regarding the multiple prescriptions?