A client prescribed a medication for hypertension started taking it 3 days ago and arrives in the emergency department with an edematous face and tongue and having a difficult time speaking. What medication is the nurse aware of that may produce this type of side effect?

A patient has a new order for intermittent nasogastric feedings every 4 hours. The nasogastric tube is placed by the nurse. What is the most accurate method for confirming the placement of the tube before initiating the feeding?

A home care nurse visits a client who is confined to bed and is cared for by an adult child with substance use disorder. The home is cluttered and unclean, and the nurse notes that the client is wet with urine and shows signs of dehydration. After caring for the client, the nurse contacts the health care provider and reports the incident to Adult Protective Services. What ethical principle is the nurse practicing?

Which ethical principle is most important when soliciting informed consent from a patient?

Which intervention would the nurse plan to use for a patient who was working on a construction site and now presents to the hospital with profuse sweating, a temperature of 104°F (40°C), patent airway, tachycardia, acute confusion, and anxiety?

A 17-year-old unconscious client has been admitted to the critical care unit in critical condition after a motor vehicle crash with proxy for health care decision-making assigned to the client's parents, who are divorced. When the client's hemoglobin drops to a critical level, the medical team approaches the parents regarding permission to initiate a blood transfusion, the client's mother, a practicing Jehovah's Witness, states that her child is also against such a medical intervention. The client's father does not share his ex-wife's belief that their child would refuse the lifesaving treatment and asks that the transfusion be given. What actions can be taken by the critical care nurse to assist in addressing this ethical dilemma that clearly involves the principles autonomy and beneficence? Select all that apply.

NOTE: Select 2 responses for this question

A 45-year-old recovering heroin abuser is status post lumbar fusion and is admitted to the intensive care unit for pain management isses related to a diagnosis of degenerative disk disease and associated peripheral neuropathy. The client who is currently prescribed oxycodone/paracetamol 5 mg/325 mg two tablets every 4 hours around the clock, gabapentin 300 mg four times per day methadone 10 mg twice daily. The client is awake alert, and oriented X4 with stable vitals is able to move lower extremities bilaterally, but reports decreased sensations in feet bilaterally and reporting incisional pain as a 10 of 10 on the Numeric Rating Scale (NRS)

Select the medication that can be appropriately prescribed and administered to help address the client's addiction maintenance, and postoperative pain.

A patient with poorly controlled diabetes mellitus is to be started on enteral tube feeding. What type of formula would be most appropriate?

A nurse is paying particular attention to the spiritual needs of a client today. The nurse identifies that spiritual beliefs can have a positive effect on general health of a client in which ways? Select all that apply.

Furosemide (Lasix) 70 mg IV daily. You retrieved Furosemide 10 mg/ml from the pyxis. How much ml will you administer to the client?

NOTE

• DO NOT write the unit/s of measurement
• YOUR ANSWER SHOULD BE IN WHOLE NUMBER

What outcomes do psychosocial and spiritual interventions have the power to employ in a patient? (Select all that apply, one, some, or all.)