The client is brought to the ER after falling off a roof and landing on his back. A T4 spinal fracture is diagnosed. The client's blood pressure is 74/40 mmHg, pulse is 55/min, and skin is pink and dry. What of the following nursing actions is a priority?

A nurse notes that a client's serum potassium level is 5.9 mEq/L. The nurse interprets this as an expected finding in the client with:

A 60-year-old male client has been diagnosed with diabetes mellitus type 2 and chronic heart failure for many years, for which he takes hydrochlorothiazide (HCTZ), digoxin, and metformin. After his wife died last year, his health declined, and he was admitted to a local nursing home.

For the past 6 months, he has experienced cognitive decline, most likely due to hypoxia and/or multi-infarct dementia. The nurse referred the client to the registered dietitian nutritionist because of a 10-lb (4.5-kg) weight loss in 2 weeks, anorexia, and increasing blood glucose levels. The registered dietitian nutritionist prescribed oral supplemental feedings, and his metformin dose was increased by the primary health care provider. Today the charge nurse receives the client's latest lab work.

Based on the physical assessment findings, medical diagnoses, and lab test values, the nurse suspects that the client most likely has , which requires emergency management with

A client who is fully awake after a gastroscopy asks the nurse for something to drink.
After confirming that liquids are allowed, which assessment action should the nurse consider a priority before offering oral intake?

The nurse completes visual inspection of a client's abdomen. What technique should the nurse perform next in the abdominal examination?

After a breast examination, the nurse is documenting assessment findings that indicate possible breast cancer. Which abnormal findings need to be included as part of the client's electronic medical record? (Select all that apply.)

A patient who has numbness and weakness of both feet is hospitalized with Guillain- Barré syndrome. The nurse will anticipate that collaborative interventions at this time will include ...

The nurse determines the total intake for a client diagnosed with acute kidney injury. The client received 650 mL of intravenous fluid, 6 ounces of water, and 8 ounces of chicken broth during the shift.

The client's urinary output for the shift is 820 mL. What is the total intake the nurse will record for this client?

While reviewing the clinical history of a client with brain injury, the nurse finds that there is a periorbital ecchymosis, which is referred to as raccoon eyes. The client also has leakage of cerebrospinal fluid (CSF) from the nose. Which fracture should the nurse suspect in the client?

Amoxicillin trihydrate 300 mg oral (PO) has been prescribed for a client with an oral infection. The medication is available in a liquid suspension that is available as 250 mg/5 mL. How many milliliters should the nurse administer?

Record your answer using a whole number.

A client arrives at the clinic with his daughter, reporting memory impairments:

Which of the following clinical feature are consistent with delirium? Select all that apply?