The nurse is triaging an older client in the emergency department. The nurse notes the client has a heart rate 145 beats/minute, respiratory rate 28 breaths/min, temperature 106° F (41.1°C), and the client appears agitated and will not hold still long enough to get an accurate blood pressure reading. The client's family reports they have been outdoors in the hot sun all morning and approximately 60 minutes ago the client began acting very confused. What is the priority nursing intervention?

The nurse is caring for several clients with acute kidney injury. Which client is most at risk for developing post renal acute kidney injury?

The nurse is assessing a client with hypothermia who is on a ventilator and notes a temperature of 82.5°F (32.2°C). Drag from the list of possible interventions from the left to the right that are the most appropriate for the nurse to implement.

The nurse is performing an assessment on a child with varicella and notices the child scratching the lesions. Which nursing intervention will the nurse perform to provide comfort at this time?

The nurse is assessing a pediatric client and notes crop lesions that have spread to the face, trunk, and arms. Some appear as a pruritic macular rash and others have started to develop into vesicles. What intervention(s) will the nurse implement? (Select all that apply)

The nurse is caring for a client who is diagnosed with appendicitis. Vital signs and lab values are as follows:

What actions should the nurse take pre and postoperatively? Drag all appropriate actions from the left side to the right side.

The nurse is caring for four clients with acute kidney injury. Which client is of highest priority?

The emergency room nurse is admitting a client who is very drowsy. The client reports a sudden onset of fever, headache, vomiting and neck pain. The nurse notes a Glascow Coma Scale of 11. What is the priority nursing action

1. The nurse is caring for an adult client who presents to the clinic who states they have had a fever, chills, frequent urination with burning. The client also reports nausea and vomiting for the last few days. Vitals signs are as follows:

What is the priority nursing action?

The school nurse is conducting screenings for pediculosis capitis. Which assessment finding most supports a positive finding?

1. The nurse is assessing a client who reports flank pain, burning with urination and a fever of 104° F (40° C) and the following laboratory findings. Which provider order is the priority for the nurse to include in the discharge education?