A nurse is caring for a 24-year-old female client in the emergency department (ED).

Exhibits

What is the most likely diagnosis for this client, based on the history, physical exam, and diagnostic results?

 

The nurse observes an unlicensed assistive personnel (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?

A client with multiple sclerosis (MS) is receiving Interferon beta-1b 0.1875 mg SUBQ every other day.

The nurse reconstitutes the vial by slowly injecting 1.2 mL of diluent into the Interferon vial for a reconstituted solution of 0.25 mg/mL. How many mL should the nurse administer? (Enter numeric value only.

If rounding is required, round to the nearest hundredth.)

The healthcare provider prescribes a 5% dextrose injection with 20 units of regular insulin for a client with a serum potassium level of 6.0 mEq/L (6.0 mmol/L) and glucose level of 180 mg/dL (10.0 mmol/L). Which evaluation is most important for the nurse to include in this client's plan of care?

The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition.

The nurse's reply should include which information? Select all that apply.

Following a cardiac catheterization and placement of a stent in the right coronary artery, the nurse administers prasugrel to the client.
To monitor for adverse effects from the medication, which assessment is most important for the nurse to include in this client's plan of care?

A client who received an open reduction and internal fixation (ORIF) of the right femur after experiencing a fall at home experiences a sudden onset of increasing confusion and agitation.
When reporting to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?

A client with hemorrhoids asks for information about a high fiber diet. Which breakfast menu item(s) should the nurse suggest? Select all that apply.

A client presents to the emergency department (ED) reporting abdominal pain.

The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence.

Which approach is best for the nurse to use when interviewing the client?

A nurse is caring for a 24-year-old female client who fell while horseback riding in the accident emergency unit.

Scenario:

A nurse is caring for a 26-year-old gravida 2 para 1 female client in the labor and delivery unit. The client previously delivered vaginally three years ago under epidural anesthesia. Her current pregnancy has progressed normally with a weight gain of 28 lbs (12.7 kg) and no reported blood pressure issues. Group B Streptococcus screening is negative, and all pregnancy-related laboratory results, including rubella immunity, are within normal limits. The client has a blood type of O, Rh-positive.

The nurse teaches the client about the fetus's reaction to labor by:

Select the most appropriate options missing from the statements below. Describing heart rate patterns by