A client who had a C5 spinal cord injury (SCI) 2 years ago is admitted to the emergency department (ED) with a diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?

A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse?
Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]

The healthcare provider (HCP) prescribes penicillin G benzathine 1,800,000 units intramuscularly (IM) for a client with a bacterial infection. The prefilled syringe is labeled, "Penicillin G benzathine 1,200,000 units/2 mL." How many mL should the nurse administer to this client? (Enter numerical value only, rounded to the nearest whole number.)

The nurse is assessing a group of older adult clients. Which factor in a client's history places the client at greatest risk for developing colon cancer?

A client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood cells (PRBCs). When notifying the healthcare provider (HCP), which information should the nurse provide first using the Situation, Background, Assessment, and Recommendation (SBAR) communication format?

The nurse obtains a fingerstick blood glucose using a bedside glucose meter for a client with a prescribed sliding scale insulin protocol. The meter indicates 56 mg/dL (3.12 mmol/L). Which intervention should the nurse implement first?

The healthcare provider (HCP) prescribes diagnostic tests for a client whose chest x-ray indicates pneumonia. Which diagnostic test should the nurse review for implementation to guide the most therapeutic treatment of the pneumonia?

A client with draining skin lesions of the lower extremity is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA). Which nursing intervention(s) should the nurse include in the plan of care (POC)? Select all that apply.

A client with diabetes mellitus is admitted with an upper respiratory infection (URI). Which changes in blood glucose management should the nurse tell the client to expect?

A male client who fractured his right femur from a fall at home is placed in Buck’s skin traction while awaiting surgery. When the client informs the nurse of the need to urinate, which intervention should the nurse implement?

A client with chronic kidney disease (CKD) missed dialysis yesterday to attend a funeral. The client's spouse calls the home health nurse and reports that the client is lethargic and hard to arouse. Which instruction is most important for the nurse to provide?