A client is brought to the emergency department after falling from a ladder and is showing signs of confusion and disorientation. The spouse states the client appeared to have lost consciousness. The nurse is provided with a list of current medications and healthcare power of attorney. When reporting to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?

A male adult is admitted because of an acetaminophen overdose. After transfer to the mental health unit, the client is told he has liver damage. Which information is most important for the nurse to include in the client's discharge plan?

The nurse is reviewing the laboratory results for a client who is scheduled for a cholecystectomy. Which result is most important for the nurse to report to the surgeon?
Reference Range:  
- Glucose: [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]  
- Creatinine: [0.5-1.1 mg/dL (44 to 97 μmol/L)]  
- Potassium: [3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)]  
- Hemoglobin: [16 to 18 g/dL (160 to 180 g/L)]
 

An adult client comes to the clinic and reports concern over a lump that, "Just popped up on my neck about a week ago." While performing an examination of the lump, the nurse palpates a large, nontender, hardened left subclavian lymph node. There is no overlying tissue inflammation. Which do these findings suggest?

 A client who weighs 176 pounds receives a prescription for enoxaparin sodium 1.5 mg/kg/day subcutaneously. The medication is available in 120 mg/0.8 mL prefilled syringe. How many mL should the nurse administer? (Enter numerical value only.)
- First, convert the client's weight from pounds to kilograms: 176 pounds ÷ 2.2 = 80 kg.
- Next, calculate the total daily dosage in milligrams: 1.5 mg/kg/day × 80 kg = 120 mg/day.
- Since the medication is available in a concentration of 120 mg/0.8 mL, the client requires a full syringe of 0.8 mL for their daily dosage.
 56. The nurse is caring for a client with a history of coronary artery disease who reports waking up with a sudden onset of viselike chest pressure. The client reports that the pain decreases at rest but continues to feel a constant mid-chest pressure. The nurse should perform which intervention in the immediate management of the client?

A client with a history of gout presents to the clinic with an inflamed left knee. The client reports the knee is extremely painful to touch for the second time in 6 months. The healthcare provider prescribes colchicine and ibuprofen. Which instruction should the nurse include in the discharge teaching?

The nurse is caring for a client with the sexually transmitted infection (STI) genital herpes. The client reports having sex with multiple partners. Which response should the nurse provide?

After receiving report, the nurse can most safely plan to assess which client last?

A client with schizophrenia reports auditory hallucinations when admitted to the hospital. Which question is most important for the nurse to include in the assessment of this client?

When entering a client's room to administer a 0900 IV antibiotic, the nurse finds that the client is engaged in sexual activity with a visitor. Which action should the nurse implement?

The nurse instructs an unlicensed assistive personnel (UAP) to turn an immobilized older client with an indwelling urinary catheter every two hours. Which additional action should the nurse instruct the UAP to take each time the client is turned?