A nurse in an emergency department is reviewing the medical record of a client who is having an acute myocardial infarction.

Which of the following findings places the client at risk if he receives alteplase?

A nurse is developing a care plan for a client who is in Buck’s traction and is scheduled for surgery for a fractured femur of the right leg.

Which of the following interventions should the nurse delegate to an assistive personnel?

A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?

A nurse is caring for a client who has end-stage kidney disease.

The client’s adult child asks the nurse about becoming a living kidney donor for their parent.

Which of the following conditions in the child’s medical history should the nurse identify as a contraindication to the procedure?

A nurse is caring for a client in a clinic.

Exhibit 1 Exhibit 2.

Nurses' Notes.

0900:

A16-year-old client reports to the clinic with their caregiver. The client's caregiver informs the nurse that the client has "not been themselves lately." The client's parents and a sibling passed away from injuries sustained when a tornado moved through their town 1 month ago. They were the only survivor and witnessed their family's deaths.

0910:.

Client appears anxious but answers questions appropriately for age. They report experiencing nightmares that awaken them at night and startle easily during thunderstorm, but the client admits that they have always been afraid of thunderstorms. Client admits smoking marijuana for about 1 month because it helps clear their mind. They also admit that they have no desire to leave the house. They do attend school regularly and are on the honor roll.

Vital Signs.

0915:

Temperature 36.7° C (98° F).

BP 122/80 mm Hg Respiratory rate 20/min Heart rate 99/min.

Based on the information in the client's medical record, which of the following findings require immediate follow-up?

Select the 4 findings that require follow-up.

A nurse is reinforcing teaching with a parent of a 4-month-old infant during a home visit.

Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is caring for a client.

Complete the following sentence by using the list of options.

After notifying the provider, the nurse should first

A nurse is caring for a child who has cystic fibrosis and requires postural drainage.

Which of the following actions should the nurse take?

A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min.

The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?

A nurse in an emergency department is caring for a client following a motor-vehicle crash.

The client’s Glasgow coma scale rating is 15.

Which of the following findings should the nurse expect

A nurse is caring for a client who has acute glomerulonephritis.

Which of the following findings should the nurse expect?