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A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have a natural childbirth. Which of the following responses should the nurse make?

A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?

A nurse is caring for a client following the surgical placement of a colostomy. Which of the following statements indicates the client understands the dietary teaching?

A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. Which of the following actions should the nurse take?

A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of initial symptoms?

A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?

A nurse is caring for a patient on a medical-surgical unit.

Medical History:

•  
• Day 1:                                                                                                                        
  • Parkinson’s Disease
  • Heart failure

Medication Administration Record:

•  
• Day 1:                                                                                                                     
  • Furosemide 40 mg po bid
  • Carbidopa/Levodopa 25 mg/100 mg po tid

Vital Signs:

•  
• Day 1:                                                                                                                    
  • Temperature: 37.2°C (99°F)
  • BP: 128/56 mm Hg sitting, 92/40 mm Hg standing
  • Heart rate: 66/min
  • Respiratory rate: 18/min
  • Pulse oximetry: 96% on room air (95% to 100%)

Diagnostic Results:

•  
• Day 1:                                                                                                                    
  • Hct: 38% (37% to 47%)
  • Hgb: 13 g/dL (12 g/dL to 16 g/dL)
  • WBC: 6,500/mm³ (5,000 to 10,000/mm³)
  • Potassium: 3.5 mEq/L (3.5 mEq/L to 5 mEq/L)
•  
• Day 2:                                                                                                                    
  • Hct: 39% (37% to 47%)
  • Hgb: 14 g/dL (12 g/dL to 16 g/dL)
  • WBC: 7,000/mm³ (5,000 to 10,000/mm³)
  • Potassium: 3.0 mEq/L (3.5 mEq/L to 5 mEq/L)

A nurse is performing a fall risk assessment on a patient. Which of the following findings indicate that the patient is at increased risk for falls? Select all that apply

A nurse is caring for a client who has delusional behavior and states, “I can’t go to group therapy today. I am expecting a high-level official to visit me.” The nurse responds, “I understand, but it is time for group therapy and we expect everyone to attend. Let’s walk over together.” For which of the following reasons is the nurse’s response considered therapeutic?

A nurse is assessing a client who is receiving metoprolol. Which of the following indicates a therapeutic effect?

A nurse is caring for a client in the emergency department (ED).

Nurse Notes:

Day 1: Client presents to ED with complaint of ‘not feeling well.’ Client appears restless, states abdomen is cramping and has had severe nausea for the past several hours. The client has had 1 loose stool in the past 1 hour. Skin is dry and intact with good turgor. Bowel sounds hyperactive in all 4 quadrants. The client attended a work picnic yesterday and multiple coworkers have similar symptoms.

Day 2: Client returns to ED with worsening symptoms. Client reports worsening nausea and persistent loose stools. Skin dry and tenting. Abdomen soft and tender, bowel sounds hyperactive in all 4 quadrants.

Vital Signs:

Day 1:

• Temperature: 37.4°C (99.3°F)
• Heart rate: 88/min
• Respiratory rate: 20/min
• Blood pressure: 120/80 mm Hg
•  

Day 2:

• Temperature: 38.2°C (100.8°F)
• Heart rate: 92/min
• Respiratory rate: 22/min
• Blood pressure: 110/65 mm Hg
•  

Provider Prescriptions:

Day 1:

• Ondansetron 4 mg PO, administer one dose now for nausea
•  

Day 2:

• Loperamide 2 mg after each diarrhea stool, not to exceed 16 mg in 24 hours
• IV fluid 500 ml DSNS at 150 ml/hour
•  

Client Education:

Day 1: Client educated to take medication as prescribed, drink fluids, and return to emergency department if symptoms worsen. Client voices understanding through teach-back.

Day 2: Client provided education about foodborne illnesses per provider prescription.

The nurse is providing the client education prescribed by the provider. Which of the following instructions should the nurse include in the education? (Select all that apply)

A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?