A client who recently experienced a myocardial infarction has decreased cardiac output and prolonged capillary refill. Which finding should the nurse recognize as compensatory response to decreased cardiac output and circulatory volume?

The nurse on the medical-surgical unit is receiving a transfer report from the postanesthesia care unit (PACU) nurse for a client who had an exploratory laparotomy. The PACU nurse provides the following information: "1,000 mL 0.9% sodium chloride is infusing at 125 mL/hr into the left wrist with 600 mL remaining. Ondansetron 4 mg IVP every 8 hours is prescribed for nausea. The last dose was administered at 0700. The client is currently describing pain rated 2 on a 0 to 10 scale. The client has a prescription for hydromorphone 1 mg IVP every 2 hours PRN for pain. The last dose was administered at 1000." Which additional information should the PACU nurse report?

The nurse is caring for a client who reports sudden right-sided numbness and weakness of the arm and leg. The nurse also observes a distinct right-sided facial droop. After reporting the findings to the healthcare provider, the nurse receives several prescriptions for the client, including a STAT computed tomography (CT) scan of the head. After obtaining vital signs, the nurse should implement which intervention?

An unresponsive victim of a diving accident is brought to the emergency department where it is determined that immediate surgery is required to save the client's life. The client is accompanied by a close friend, but no family members are available. Which action should the nurse take first?

The nurse is providing client teaching about the use of a patient-controlled analgesia (PCA) pump. Which statement by the client indicates the need for more instruction about the PCA pump?

Which assessment should the home health nurse include during a routine home visit for a client who was discharged home with a suprapubic catheter?

Patient Data

For each potential nursing action, click to indicate whether the action is indicated, contraindicated, or nonessential for this client's plan of care. Each row must have only one option selected.

Patient Data

The nurse is considering the client's presentation and which information must be shared with a healthcare provider (HCP). Click to highlight the condition(s) that the nurse should share with the healthcare professional.

Patient Data

The nurse provides sliding scale insulin administration instructions to an adult who was recently diagnosed with diabetes mellitus. The client demonstrates an understanding of the instructions provided by performing the procedure in which order? (Arrange with the first on top and the last on the bottom.)

When the parents of a 6-year-old boy with a brain tumor are told that his condition is terminal, the mother shouts at the father, "This is your fault! It never would have happened if we had sought treatment sooner!" Which intervention is best for the nurse to implement?