The nurse is caring for a client who has been admitted with recurring migraine headaches.
To assess the quality of the client's pain experienced from the migraine headache, which approach should the nurse use?

A male client who is admitted with bipolar disorder, manic psychosis, is placed in seclusion after unsuccessful attempts to de-escalate him during a sudden mood swing from laughter to jumping and screaming threats while waving a plastic dinner knife.

The client is given haloperidol.

5 mg intramuscularly STAT prior to seclusion.

Which intervention is most important for the nurse to implement immediately after seclusion?

A client receiving mechanical ventilation has a pH of 7.26, PaCO2 of 68 mm Hg, and a PaO2 of 92 mm Hg. Which intervention should the nurse implement?

Which computer documentation indicates that activities to prevent postoperative venous stasis were performed correctly?

Patient Data

What is the rationale for the order of supplemental oxygen 10 L/min via nasal cannula? Select the best answer.

A client arrives at the emergency department with chest pain after taking sildenafil.
Based on the client's history, which medication should the nurse withhold?

The nurse on the medical-surgical unit is receiving a transfer report from the post-anesthesia care unit (PACU) nurse for a client who had an exploratory laparotomy.

The PACU nurse provides the following information: "1000 mL normal saline is infusing at 125 mL/hr into the left wrist with 600 mL remaining.

Ondansetron 4 mg intravenously every 8 hours is prescribed for nausea.

The last dose was administered at 0700.

The client is currently describing pain at a level 2 on a 0 to 10 pain scale.

The client has a prescription for hydromorphone 1 mg intravenously every 2 hours as needed for pain.

The last dose was administered at 1000." Which additional information should the PACU nurse report?

A nurse is planning care for a client with a phobia.
Which nursing intervention is appropriate for this client?

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 Computerized tomography scan of the head.

Which action should the nurse take first?

A nurse is teaching a client with hypertension about antihypertensive drugs.
Which of the following statements by the client indicates an understanding of the teaching?

Which information should the practical nurse (PN) collect during the admission assessment of a terminally ill client to an acute care facility?