An adult client comes to the clinic and reports concern over a lump that, "Just popped up on my neck about a week ago." While performing an examination of the lump, the nurse palpates a large, nontender, hardened left subclavian lymph node. There is no overlying tissue inflammation. Which of these findings suggest?

A client on the mental health unit has been scowling and rapidly pacing up and down the hall for several minutes. Which behaviors are most important for the nurse to monitor?

When entering a client's room to administer an 0900 IV antibiotic, the nurse finds that the client is engaged in sexual activity with a visitor. Which action should the nurse implement?

After receiving report, the nurse can most safely plan to assess which client last?

The nurse plans to collect a 24-hour urine specimen for a creatinine clearance test. Which instruction should the nurse provide to the adult male client?

An adult client with type 2 diabetes mellitus (DM2) is to be admitted within the next hour to the medical unit from the emergency department. The client's laboratory findings indicate that

the serum glucose is 175 mg/dL (9.63 mmol/L) and the A1c is 9%. 
When requesting a dinner tray for the client, which menu should the nurse select?

Reference Ranges:

Blood glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)] HbA1C [Good diabetic control: less than 7%]

Highlight the 3 orders that should be completed first.

Orders

• Administer oxygen 5 L/minute via simple face mask
• Vital signs ever 1 hour
• X-ray of the right arm and cervical spin
• Place 2 large bore peripheral IV's
• Computed tomography scan of the brain
• Give 1 Liter bolus of 0.9% sodium chloride solution IV once
• Bacitracin applied topically to lacerations every 12 hours

A client with neuroleptic malignant syndrome receives a prescription for dantrolene 1.5 mg/kg IV. The client weighs 132 pounds. The label on 250 mg vial reads, "Reconstitute with 5 mL sterile water for injection, USP. Reconstitution yields 50 mg/mL." How many ml. should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Based on the client's status at 1400, the nurse should plan to do which of the following? Select all that apply.

The nurse is teaching a group of women about osteoporosis and exercise. The nurse should emphasize the need for which type of regular activity?

A primigravida client at 36-weeks gestation is admitted to the labor and delivery unit because her membranes ruptured 30 minutes ago. Initial assessment indicates a 2 cm cervical dilatation, 50% effaced, -2 station, vertex presentation, greenish-colored amniotic fluid, and contractions occurring every 3 to 5 minutes, with a decrease in fetal heart rate after the last four contraction peaks. Which action should the nurse implement first?