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?

The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client's radial pulse as seen in the picture. Which action should the PN take?

The nurse is caring for a client who reports sudden right-sided numbness and weakness of the arm and leg.

The nurse also observes a distinct right-sided facial droop.

After reporting the findings to the healthcare provider, the nurse receives several prescriptions for the client, including a STAT Computerized tomography scan of the head.

Which action should the nurse take first?

The nurse is preparing an older male adult for discharge who does not read and has bilateral hearing loss.

The client's daughter who lives close to her father tells the nurse that she will stop by daily to check on her father.

Which intervention(s) should the nurse implement? (Select all that apply.).

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?

A nurse is providing interventions for a client with panic disorder.
Which interventions should the nurse include in the plan of care? (Select all that apply).

A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib is empty and the baby is missing.

Which action should the nurse take first?

A client with intestinal obstruction has a nasogastric tube to low intermittent suction and is receiving an intravenous (IV) infusion of lactated Ringer's at 100 mL/hour.
Which finding is most important for the nurse to report to the healthcare provider? Reference Range: Potassium (3.5 to 5 mEq/L (3.5 to 5 mmol/L).

A 70-year-old female presents to the emergency department triage with a noticeable facial droop and garbled speech.

After having a few drinks at a local seafood restaurant, the client’s husband noticed his wife’s speech became difficult to understand.

The triage nurse does a rapid assessment of the client.

The nurse begins to plan care for the client’s recovery and identifies interdisciplinary team members who can assist with the client’s recovery.

Select the interdisciplinary team members who should assist the client in recovery.

Select all that apply.

A client is recovering in the critical care unit following a cardiac catheterization.

Intravenous (IV) nitroglycerin and heparin are infusing.

The client is sedated but responds to verbal instructions.

After changing positions, the client complains of pain at the right groin insertion site.

Which action should the nurse implement?

Four days after exposure to the coronavirus (COVID-19), a client has a negative COVID-19 test result.

Eight days after the negative test result, the client presents with fever, fatigue, and cough, and the nurse performs a second COVID-19 test.

Which action is most important for the nurse to take?