The nurse is caring for a pregnant client who is suspected of having cardiovascular disease. Select the diagnostic test that may be performed to determine the extent of cardiovascular disease during pregnancy.

A client experiencing alcohol withdrawal syndrome says he’s itching everywhere from the bugs on his bed. What is the most appropriate action by the nurse?

A client with alcohol withdrawal syndrome is pulling at his central venous catheter, saying he’s swatting the spiders crawling over him. What is the priority action by the nurse?

A client who experienced alcohol withdrawal syndrome is no longer having hallucinations or tremors and says he would like to enter a rehabilitation facility to stop drinking. What is the most appropriate intervention by the nurse?

A client with cirrhosis is restless and at times tries to climb out of bed. What is the most appropriate intervention by the nurse?

The nurse is assessing a client with cirrhosis. Which assessment finding would be most indicative of late-stage cirrhosis?

A client with cirrhosis is jaundiced and edematous. He’s experiencing severe itching and dryness and asks the nurse if anything can be done for his skin. What is the best intervention by the nurse?

A client with a spinal cord injury tells the nurse that he has difficulty recognizing the symptoms of urinary tract infection (UTI) before it’s too late. The nurse explains to the client that an early symptom of UTI is:

A client experiencing alcohol withdrawal syndrome says he sees cockroaches on the ceiling. What is the most appropriate response by the nurse?

A nurse suspects a client is experiencing alcohol withdrawal syndrome. What is the priority action by the nurse?

The nurse is caring for a pregnant client who is suspected of having cardiovascular disease. The nurse is aware that which classification of medication may be used safely in a pregnant client with cardiovascular disease?

A student nurse working with a registered nurse is assessing a child with epiglottitis. The student tells the client she needs to look at his throat. Which intervention by the registered nurse is most appropriate?

A client has been diagnosed with epiglottitis. The nurse recognizes that the client was diagnosed based on which of the following?

The nurse is caring for a child with epiglottitis. The child is at greatest risk of develop which condition?

A client arrives at the emergency department in her third trimester with painless vaginal bleeding. Based on the assessment data, the nurse suspects that the client is experiencing which of the following?

The nurse is caring for a client who has been admitted with suspected placenta previa. After assessing vital signs and applying an external monitor, what is the most important action by the nurse?

A pregnant client with vaginal bleeding asks a nurse how the fetus is doing. What is the most appropriate response by the nurse?

A neonate requires blood transfusions after birth. Which cannulation site is most appropriate for the nurse to select?

A father arrives in a busy emergency department and is upset with his wife for bringing their 2-year-old child with epiglottitis in for treatment. Which intervention by the nurse is most appropriate?

The nurse is assessing a 2-year-old child in the emergency department for epiglottitis. Which assessment finding would the nurse expect to document?

The nurse needs to auscultate a 2-year old breath sounds. Which method of approaching the child is most appropriate?

A mother says that her 2-year-old child is up to date with his immunizations. The nurse can most accurately determine that the client is up to date with his immunizations if they include which of the following?

The mother of a 2-year-old child with epiglottitis says she needs to pick up her older child from school. The 2-year-old child begins to cry and appears more stridorous. What is the priority action by the nurse?

A nurse working in the triage area of an emergency department sees that several pediatric clients arrive simultaneously. Which client should be treated first?

Which statement by the nurse most accurately reflects subjective data in a nursing assessment?

The nurse is writing a plan of care for a 20-year-old client who sustained a spinal cord injury and is frequently hospitalized for kidney stones. What is the most appropriate intervention for the nurse to include in the plan?

A 25-year-old primigravida has been in labor for 20 hours with little progress. The doctor prescribes oxytocin for her. The order reads 10 U oxytocin in 1,000 ml/NSS to infuse via pump at 1 mU/minute for 15 minutes; then increase flow rate to 2 mU/minute. What’s the flow rate needed to deliver 1 mU/minute for 15 minutes?

A client is hospitalized at 35 weeks’ gestation with placenta previa and placed on strict bedrest. She states, “I lost my last baby at 24 weeks.” What is the priority nursing diagnosis?

A 40-year-old client is being treated for GI bleeding. On his fifth day of hospitalization, he begins to have tremors, is agitated, and is experiencing hallucinations. The nurse is aware that these symptoms may indicate which condition?

A 72-year-old man with cirrhosis is admitted to the hospital in a hepatic coma. What is the most important nursing intervention?