The nurse is helping a client to bed when the client begins having a generalized seizure. Which action should the nurse take first?

A client arrives in the emergency department after a motor vehicle accident. The client has sinus tachycardia, is hypotensive, and has muffled heart sounds. There is no apparent sign of hemorrhage. Which condition does the nurse suspect?

The nurse cares for a client who has a continuous passive motion (CPM) machine in place after a total knee replacement. The physician writes orders for the degree of flexion and hours per day of CPM use. Which intervention should the nurse perform?

The nurse cares for a client following a modified left radical mastectomy in the treatment of breast cancer. Which is the proper position for the nurse to place the client’s left arm?

The nurse cares for a client with Addison’s disease. Which should the nurse expect to observe when assessing the client?

The nurse assesses a client who has a vitamin K deficiency. What should the nurse expect to find upon assessment of this client?

The nurse cares for a client with a hip fracture. The nurse understands that it is important for the client to ambulate frequently because:

The nurse cares for a client diagnosed with a brainstem injury. Which is the nurse’s priority assessment?

The nurse is discharging a client who is diagnosed with gout. The nurse recognizes further teaching is necessary when the client states:

The nurse cares for a client diagnosed with leftsided heart failure. The nurse knows that one of the symptoms of left-sided heart failure is:

The nurse cares for a postoperative mastectomy client. A wound drain is attached to a Hemovac drainage system. Which action should the nurse take?

The nurse cares for a client with a diagnosis of chronic kidney disease. Which nursing intervention is appropriate for this client?

A client with left-sided heart failure is to be maintained on bed rest. What is the rationale for maintaining the client on bed rest?

A client presents to the emergency department with a cough. The nurse’s assessment reveals the client is also experiencing chills, fever, night sweats, and hemoptysis. The nurse suspects the client may have which illness?

The nurse admits a client to the hospital for a carotid endarterectomy. The nurse should expect to find which condition documented in the client’s history?

A client who is rushed to the emergency department is diagnosed with a ruptured aortic aneurysm. Which intervention should the nurse expect for this client?

An elderly client diagnosed with pneumonia most likely exhibits which symptom first?

A client comes to the clinic for a blood pressure checkup. The client takes antihypertensive medications at home. The nurse knows the medication is most likely not effective in controlling the client’s blood pressure if the client complains of which common symptom of hypertension?

A client diagnosed with end-stage liver disease notices a decrease in ascites. The nurse should expect which finding to accompany the decrease in ascites?

A client has a chest tube placed for treatment of a pneumothorax. Which statement indicates the chest tube is ready to be removed?

The nurse cares for a client with a pulmonary embolism. The nurse’s care should focus on which intervention?

The nurse cares for a client with a diagnosis of diabetes mellitus type 1 who is admitted to hospital for treatment of ketoacidosis. Which client behavior most likely contributed to the development of ketoacidosis?

The nurse cares for a client diagnosed with atelectasis. Which intervention should be included in the client’s plan of care?

The nurse cares for a client suspected of having hypothyroidism. Which test can the nurse expect the physician to order?

The nurse cares for a client diagnosed with peptic ulcer disease. Which finding most likely explains the client’s peptic ulcer disease?

A nurse cares for a client with an intracranial pressure reading of 10 mm Hg. The nurse knows that this reading:

A 24-year-old female client is diagnosed with acute lymphoblastic leukemia and requires an allogeneic bone marrow transplant. The nurse determines the client understands the treatment when the client states:

A 33-year-old client complains of fatigue, anorexia, and a low-grade fever. The client also complains of joint pain. Which condition does the nurse suspect?

The nurse performs tracheal suctioning through a client’s nose. Which is the correct method for suctioning the client?

The nurse cares for a client with the syndrome of inappropriate antidiuretic hormone (SIADH). Which should the nurse find consistent with the diagnosis?