An unresponsive male victim of a diving accident is brought to the emergency department where it is determined that immediate surgery is required to save his life.

The client is accompanied by a close friend, but no family members are available.

Which action should the nurse take first?

A woman at 12 weeks' gestation comes to the clinic for her first prenatal visit.
After completing a health history, the nurse should discuss which topic about pregnancy at this initial visit?

A nurse is caring for a client who has hypertension and is prescribed metoprolol, a beta blocker.

The nurse should monitor the client for which of the following adverse effects?

A client asks a nurse about the differences between major depressive disorder (MDD) and dysthymia.
Which of the following responses by the nurse is accurate?

A nurse is caring for a client who has variant angina and is prescribed verapamil.

Which of the following are expected outcomes of this medication? (Select all that apply.)

An unlicensed assistive personnel (UAP) reports that a client's right hand and fingers spasm when taking the blood pressure using the same arm.

After confirming the presence of the spasms, which action should the nurse take?

During a fecal impaction removal, an older client complains of feeling dizzy and cold.
Which intervention should the nurse implement?

A newly hired unlicensed assistive personnel (UAP) is assigned to a home healthcare team along with two experienced UAPs.

Which intervention should the home health nurse implement to ensure adequate care for all clients?

The nurse observes an 18-month-old toddler keeping a bottle of milk in the mouth throughout the history-taking and assessment process during a well-child visit.

The mother confirms that the child has a bottle available most of the day and remarks that it makes a great pacifier.

Which response should the nurse provide?

When the practical nurse (PN) atempts to assist an 18-year-old client with a mild mental disability to ambulate on the first postoperative day after an appendectomy, she becomes angry and says, "PN, 'Get out of here! I'll get up when I'm ready!"

Which response is best for the PN to make?

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?