The nurse observes a novice nurse caring for a client experiencing status epilepticus. It will require immediate intervention if the novice nurse does which of the following?

Nurse Lily is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?

Spironolactone (Aldactone) is prescribed for a client with chronic cirrhosis and ascites.
The nurse should monitor the client for which of the following medication-related side effects?

The nurse is performing an assessment of a client with possible plantar fasciitis in the right foot. What assessment finding would the nurse expect in the right foot?

The nurse prepares to administer promethazine 35 mg intramuscularly prescribed as needed for a client with cholecystitis who has severe nausea. The ampule label reads that the medication is available in 25 mg/mL. How many milliliters should the nurse administer?

Record your answer using one decimal place.

A 60-year-old female client with a 5-year history of diabetes mellitus type 2 visits her primary health care provider with report of an "itchy" skin rash that she has never had before. On inspection, the nurse notes that she has multiple raised reddened lesions of varying sizes located primarily on her legs and arms.

The client reports that her diet has not changed and that she feels embarrassed about her skin problem. The nurse documents her current medications:

• Glipizide 5 mg orally once daily with breakfast for diabetes mellitus type 2
• Furosemide 20 mg orally once every other day for hypertension
• Lovastatin 40 mg orally once daily for high cholesterol
• Duloxetine 60 mg orally once daily for clinical depression
• Trimethoprim/sulfamethoxazole DS 1 tablet every 12 hours for acute urinary tract infection

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

The nurse will instruct the client that she should not continue taking The nurse will instruct the client that she may not be able to continue taking ___________________ .

Jane, a 20-year old college student is admitted to the hospital with a tentative diagnosis of myasthenia gravis. She is scheduled to have a series of diagnostic studies for myasthenia gravis, including a Tensilon test. In preparing her for this procedure, the nurse explains that her response to the medication will confirm the diagnosis if Tensilon produces:

The client is brought to the ER after falling off a roof and landing on his back. A T4 spinal fracture is diagnosed. The client's blood pressure is 74/40 mmHg, pulse is 55/min, and skin is pink and dry. What of the following nursing actions is a priority?

The newly diagnosed patient with type 2 diabetes has been prescribed metformin (Glucophage). What should the nurse tell the patient to best explain how this medication works?

A patient received teaching about the correct procedure in a 24-hour urine collection for creatinine clearance test. Which statement by the client indicates a need for further teaching?

The nurse is assessing a patient with suspected neurological issues. The patient's speech is delivered with normal rhythm but filled with words that do not form any meaningful statements.

The patient is also unable to write or repeat back words and does not appear to understand the nurse's instructions or questions. The nurse would recognize these symptoms as: