A client who is 37 weeks gestation comes to the women's health clinic reporting an excruciating headache.

On examination, the nurse determines the client has an elevated blood pressure.

Which action should the nurse implement next?

A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes.

Which drink choice on a hot day indicates to the nurse that an adolescent with sickle cell anemia understands dietary considerations related to the disease?

A client who is 38 weeks pregnant is concerned her baby might get a communicable disease before any immunizations are given.

Which physiological mechanism should the nurse use when responding to the mother's concerns?

A client at 6-weeks gestation presents to the office with a report of vaginal bleeding for the last 12 hours without cramping. Which action should the nurse take? 

The nurse is providing discharge instructions to the caregiver of an infant with recurrent otitis media.
Which statement made by the caregiver should the nurse recognize as needing additional education about minimizing subsequent infections?

A client in preterm labor has had an infusion of magnesium sulfate running for 8 hours.
Current assessment findings are respirations of 14 breaths/minute, a urine output of 25 mL/hr, deep tendon reflexes of 1+, and a serum magnesium level of 8 mEq/L (4 mmol/L). Based on these assessment findings, which conclusion should the nurse reach?

The parent of an 11-year-old client who has juvenile idiopathic arthritis tells the nurse, "I really don't want my child to become dependent on pain medication, so I only allow taking the medication when the pain is really bad.”. Which information is most important for the nurse to provide this parent?

The healthcare provider prescribes magnesium sulfate 6 grams IV to be infused over 20 minutes for a client with preterm labor.

The IV bag contains "Magnesium sulfate 20 grams in dextrose 5% in water 500 mL.”. How many mL/hour should the nurse set the infusion pump? (Enter numerical value only.)

The mother of a 4-month-old baby girl asks the nurse when she should introduce solid foods to her infant.The mother states, "My mother says I should put rice cereal in the baby's bottle now.”. The nurse should instruct the mother to introduce solid foods when her child exhibits which behavior? 

A child is being prepared for a computed tomography (CT) scan when the child begins to have a tonic clonic seizure.The mother is hysterical and is trying to hold the child down.

Which action(s) should the nurse take? Select all that apply.

A. Place pillows inside the side rails.