A nurse is caring for a client at 34 weeks’ gestation who presents with sudden-onset severe abdominal pain and dark-red vaginal bleeding. The uterus is firm and tender to palpation. The client reports that she smokes one pack of cigarettes daily and used cocaine recreationally approximately 24 hours ago. Her pregnancy history includes one previous uncomplicated vaginal delivery. She denies abdominal trauma. Her blood pressure is 148/90 mm Hg, and the fetal heart rate demonstrates recurrent late decelerations.Which factor in the client’s history places her at the greatest risk for abruptio placentae?

A patient starting chemotherapy develops hyperuricemia, hyperkalemia, and acute kidney injury. What complication should the nurse suspect?

A child is prescribed methylphenidate for ADHD. Which side effects should the nurse teach the parents to monitor for? (Select all that apply)

A client with schizophrenia is experiencing auditory hallucinations. What is the nurse’s priority action?

The parent of a 5-year-old child tells the nurse, “My child frequently talks to an imaginary friend named Alex and sometimes asks Alex to play.” The parent is concerned that this behavior indicates a psychiatric disorder. Which response by the nurse is most appropriate?

A nurse is caring for a confused client who is repeatedly attempting to pull out an IV line. The provider prescribes soft wrist restraints. Which action should the nurse take?

The nurse is caring for a client who has a tracheostomy. Which nursing action requires immediate correction?

A client with diabetic ketoacidosis has the following laboratory results: Glucose: 560 mg/dL, Potassium: 3.0 mEq/L, pH: 7.14, HCO₃⁻: 10 mEq/L. The healthcare provider prescribes: Regular insulin infusion, Potassium chloride, Normal saline. Which action should the nurse take FIRST?

A patient on warfarin reports taking ginkgo biloba for memory. Which action by the nurse is INCORRECT?

The nurse is caring for a primigravida complaining of lightheadedness, faintness, cold clammy skin, and palpitations after lying supine. The appropriate nursing intervention is: