62-year-old client had a chest tube placed three days ago for a left-sided hemothorax, connected to a water-seal drainage system. At shift report, the system was functioning properly, the dressing was clean, dry, and intact, and drainage had been decreasing. The last output was recorded at 0600. At 0800, assessment findings include blood pressure 102/64 mmHg (baseline 128/80 mmHg), heart rate 110 bpm, and 360 mL of serosanguinous drainage in the past 2 hours. What is the priority nursing action?  

A 52-year-old client is brought to the emergency department after a motor vehicle collision with a deep laceration to the left thigh. The client appears pale, diaphoretic, and anxious, stating “I feel very lightheaded.” The pressure dressing over the wound is saturated with bright red blood. Initial vital signs are:  BP: 82/54 mmHg   HR: 126 bpm   RR: 24/min, shallow   Which intervention should the nurse prioritize? 

A client is receiving spinal anesthesia for a surgical procedure. The nurse recognizes that the development of [symptom] may indicate a complication of spinal anesthesia due to [cause] 

A nurse is caring for a 60-year-old client who was admitted following a fall and head injury. The client is being monitored closely for signs of increased intracranial pressure (ICP). Which of the following best indicates that the client is experiencing Cushing’s Triad? Select all that apply.  

The nurse is caring for multiple clients with neurologic conditions. Which client requires immediate priority intervention?   

A client develops hypotension, tachycardia, and agitation 3 hours after insertion of a subclavian triple lumen central venous catheter.  The client’s lung sounds are decreased on one side, their lips are slightly cyanotic, and tracheal deviation is present. The nurse realizes that this client is most likely experiencing which type of shock?   

A nurse admits a 26-year-old client with type 1 diabetes presenting with diabetic ketoacidosis (DKA). Which of the following clinical findings should the nurse anticipate? Select all that apply.

Which of the following characters does not appear in Hamlet

What does Hamlet claim to be able to tell the difference between when the wind is from the south?

Where was Hamlet studying before he returned to Denmark?