A nurse is caring for a 20-year-old client who has a fever and reports severe headache.

Exhibits

A nurse is preparing the client for a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide?

A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

A charge nurse is teaching a newly licensed nurse about health care-associated infections (HAIs). Which of the following should the nurse include in the teaching as examples of HAIS?

A nurse is reviewing a client's medical record. Which of the following findings should the nurse identify as a fall risk?

A nurse is caring for a client in the emergency department.

Click to highlight the findings in the transfer report that require immediate action by the nurse when the client arrives.

The client complains of fatigue, vertigo, and shortness of breath with daily activities.

Current vital signs are: blood pressure 86/46 mm Hg, pulse rate 100/min, respiratory rate 28/min. Oxygen saturation 94% on 2 L via nasal cannula. Client has an 18 g capped IV in the right antecubital space. There is a new prescription for 0.9% sodium chloride at 125 mL/hr. There is also a prescription for the transfusion of 2 units of packed RBCs; the first unit has been ordered from the blood bank. Oxygen is to be titrated to maintain an oxygen saturation of 92%.

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, "I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up." Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

A nurse is caring for a client on a medical-surgical unit.

A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. Click to highlight the findings below that the nurse should report to the provider.

Nurses' Notes

Oxygen saturation 95%. The client's voice is hoarse.

The client reports tingling around the mouth.

Moderate serosanguinous drainage noted on neck dressing. The client has a slight tremor noted in both hands.

The client's temperature has increased in 1 hr from 37.5° C (99.5° F) to 38.6° C (101.5° F). The client appears restless.