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?

The nurse requests a meal tray for a client who follows Mormon beliefs and who is on a clear liquid diet following abdominal surgery.
Which menu item(s) should the nurse request for this client? (Select all that apply).

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).

After an increase in the number of suicides in a community, the nurse is developing a class for adolescents about mental health.
Which type of activity should the nurse include in the teaching?

A client receives a prescription for 1 liter of lactated Ringer's intravenously (IV) to be infused over 12 hours.

The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only.

If rounding is required, round to the nearest whole number.).

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?

A client who is reaching saturation with medication reports the onset of muscle soreness and fatigue, and the practical nurse (PN) notes that the client's skin is warm to the touch.

Which action by the PN is a priority?

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 nurse is teaching a group of nursing students about the components of critical thinking.
Which of the following statements by a student indicates a need for further teaching?

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.

The mother of a school-aged boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder. The mother says the boy is in pain and needs medical help.
The nurse should assess the injury and decide the appropriate action to take.
Help the nurse reason out the best assessment.