A nurse is caring for an 84-year-old female client in her home and is discussing caregiver stress with the client’s daughter.

Exhibits

Select the 3 statements that the nurse should include when discussing caregiver stress with the client’s daughter.

The nurse is reviewing the client's data. Which of the following findings should the nurse report to the primary health care provider immediately? Select all that apply.

Following a cardiac catheterization and placement of a stent in the right coronary artery, the nurse administers prasugrel to the client.
To monitor for adverse effects from the medication, which assessment is most important for the nurse to include in this client's plan of care?

A nurse is caring for a 26-year-old female client who is in active labor in the labor and delivery unit.

The client has requested epidural anesthesia, and it has been administered to manage her pain during labor. The nurse is now monitoring her condition closely.

A peripheral IV (PIV) is started in the left hand with a 20-gauge catheter.

Lab specimens are drawn.

IV fluids of lactated Ringer's started infusing at 75 mL/hour.

Contractions are now every 4 minutes, lasting 45 seconds.

Mother says they are getting more painful.

She and her husband are instructed on slow breathing and relaxation techniques.

Husband will assist with her breathing.

Client is instructed she can have pain medication if she needs it until time for epidural.

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

A client sustained a head injury when hit by a lead pipe two hours ago and is admitted for observation after the computerized tomography (CT) scan indicates that no spinal cord injury and no skull fractures are present.

When the client begins projectile vomiting, the nurse quickly turns the client's head to the side and administers ondansetron 4 mg IV as prescribed.

Reassessment indicates that the client's Glasgow coma score is 13 and the left pupil is dilated without reaction to light.

Which intervention(s) should the nurse implement? Select all that apply.

A client expresses concern about receiving proper care in accordance with the client's religion. Which action is best for the nurse to take?

Page the admitting anesthesiologist STAT.

Following a bowel resection, a client's tympanic temperature was 97.6°F (36.4°C) on admission to the postanesthesia care unit (PACU). Thirty minutes later, the temperature is 101.6°F (38.7°C). Which intervention(s) should the nurse implement? Select all that apply.

The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition.

The nurse's reply should include which information? Select all that apply.

Arterial Blood Gas Laboratory Test