A client who is unconscious is brought by ambulance to the emergency department following an automobile accident. The nurse observes bleeding from the nose and the client's vital signs on arrival are: heart rate 100 beats/minute, respirations 16 breaths/minute, and blood pressure 130/76 mm Hg. Which assessment finding warrants immediate intervention by the nurse?

An adult client experiencing pain associated with maxillofacial surgery receives a prescription for acetaminophen and codeine phosphate oral solution 25 mL PO every 6 hours PRN. The bottle is labeled: "Acetaminophen and Codeine Phosphate Oral Solution, USP: 120/12 mg per 5 mL." How many mg of codeine will the client receive with each dose? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Patient Data

Initial testing is complete, and the nurse is reviewing the results.

Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.

The nurse determines that the client has

Patient Data

The client has not been seen in the clinic for several months and did not follow up after having annual laboratory testing done nine months ago as requested by the healthcare provider (HCP).

Which factor(s) is/are the most important for the nurse to include in an initial assessment of the client? Select all that apply.

A client is having difficulty coughing up thick mucus and requires suctioning. When suctioning the client with a Yankauer suction catheter, which action should the nurse include?

A 71-year-old client is concerned about an elevated prostate-specific antigen (PSA) level because he understands that an elevated PSA is a possible indication of prostate cancer. Which factor should the nurse explain can also cause an elevated PSA level?

A client with bladder cancer had surgical placement of a ureteroileostomy (ileal conduit) yesterday. Which postoperative assessment finding should the nurse report to the healthcare provider (HCP) immediately?

A client treated for type 2 diabetes mellitus for eight years arrives to the clinic describing elevated blood glucose readings intermittently for the past two months. Which information requires further assessment by the nurse?

Reference Range:

Blood Urea Nitrogen (BUN) [10 to 20 mg/dL (3.6 to 7.1 mmol/L)]

White Blood Cell (WBC) 15,000 to 10,000/mm3 (5 to 10 x 109/L)] Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)] Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)]

Patient Data

The client returns to the clinic for his four week follow up appointment.
Which 3 statements made by the client indicate his depression is improving?

An older adult client with emphysema, who continues to smoke cigarettes, returns to the medical unit after a physical therapy session, and is short of breath. The nurse notes that the client is lying supine with the head of the bed elevated to 45 degrees. Oxygen is flowing via nasal cannula at 3L/minute. The client's pulse oximetry is 88%, respiratory rate is 14 breaths/minute, and vital signs are stable. Which intervention should the nurse implement?

The nurse is developing a plan of care for an older adult client with type 2 diabetes mellitus who reports blurred vision. Which outcome should the nurse include in the plan of care?

Reference Range:

Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]

Hemoglobin A1C [Good diabetic control is less than 7%]