The nurse tells the unlicensed assistive personnel to assist the client who is 1-day postoperative spinal surgery with a.m. care.
Which action by the unlicensed assistive personnel warrants immediate intervention?

An adult weighing 88 kg is brought to the emergency department after sustaining a thermal injury.

Burns are partial and full thickness over 38 According to the Parkland formula, what would this client's fluid requirements be for the first 24 hours after injury?

A nurse is developing a plan of care for a client who is postoperative.
Which of the following interventions should the nurse include in the plan to prevent pulmonary complications?

The nurse prepares a continuous aminophylline infusion at 0.3 mg/kg/hr for a client weighing 165 pounds.

The bag is mixed with 500 mg of aminophylline in 250 mL of D5W.

At which rate should the nurse set the pump in mL/hr? Round the answer to the tenths place.

The client being admitted with a transient ischemic attack (TIA) is reporting a headache.
The client is allergic to morphine, iodine, and codeine. Which healthcare provider order should the nurse ask to clarify?

A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site.
Which of the following actions should the nurse take first?

The nurse suspects that a client has decorticate posturing.
Which findings support the nurse's suspicion?

A client with esophageal varices is admitted with acute upper gastrointestinal bleeding.
Which medication should the nurse anticipate administering to reduce portal hypertension and prevent further bleeding?

A nurse is assigned to care for a 68-year-old adult client who had a right total hip arthroplasty (THA) 2 days ago on the medical-surgical unit. The client's pain is being managed with oral opioids and gabapentin. The client has been on apixaban 5 mg orally once a day and has ambulated with assistance 4 times each day in the hall with a walker.

The nurse evaluates a client's response to hemodialysis.
Which finding indicates an expected outcome?

The nurse reviews a preoperative note for a 68-year-old client who is scheduled to have a right anterior Total Hip Arthroplasty (THA). The client has a history of several surgeries including hysterectomy, appendectomy, and cholecystectomy. The client has a 52-pack-year smoking history but quit 2 years ago, a BMI of 30.1, and a history of two deep vein thromboses (DVT). The client also has hypertension controlled by diet and drug therapy, high cholesterol controlled by statins, and GERD controlled by an antacid PRN.
Which assessment findings place the client at risk for a venous thromboembolism (VTE)? Select all that apply.