The nurse is caring for a client who has been admitted with recurring migraine headaches.
To assess the quality of the client's pain experienced from the migraine headache, which approach should the nurse use?

A client with bleeding esophageal varices receives vasopressin intravenously (IV). Which adverse effect should the nurse monitor for during the IV infusion of this medication?

A client with renal calculi is experiencing hematuria and reports severe flank pain.
Which intervention should the nurse implement first?

A parent asked the nurse how to care for their 4-year-old child after receiving the Haemophilus influenzae Type b (Hib) conjugate vaccine.
Which instruction should the nurse provide?

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.

1915: Client arrives via personal car to emergency department with facial drooping and garbled speech.

Click to highlight the data that indicate the client is in need of immediate health interventions.

Patient Data.

What are the signs and symptoms of DKA? Select all that apply.

A female client who is admitted to the mental health unit for opiate dependency is receiving clonidine 0.1 mg by mouth (PO) for withdrawal symptoms.

The client begins to complain of feeling nervous and tells the nurse that her bones are itching.

Which finding should the nurse identify as a contraindication for administering the medication?

A nurse is teaching a client with hypertension about antihypertensive drugs.
Which of the following statements by the client indicates an understanding of the teaching?

An adult male was diagnosed with stage IV lung cancer three weeks ago.

His wife approaches the nurse and asks how she will know that her husband's death is imminent because their two adult children want to be there when he dies.

Which is the best response by the nurse?

At the first dressing change, the practical nurse (PN) tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it.

Which response by the PN to the client's silence is best?

A client with diabetic peripheral neuropathy has been taking pregabalin for 4 days.
Which finding indicates to the nurse that the medication is effective?