The nurse is caring for four clients on a medical-surgical unit. Which client should the nurse assess first?

The nurse recognizes the client in the emergency department from a picture in the local paper. The client has recently received a major scholarship for high academic achievement. The client tells the nurse that he hears voices that tell him he is worthless. He has tried to kill himself. What statement is the most appropriate for the nurse to use first when attempting to establish a therapeutic relationship?

The nurse is applying a hand mitt restraint for a client with pruritus (see figure). The nurse should first:

A 28-year-old client is admitted to the emergency department with sudden onset of neck stiffness, jaw clenching, and upward rolling of the eyes. The client reports being started on a new medication 24 hours ago for schizophrenia. Which medication most likely caused this reaction, and what is the priority treatment?

A client is scheduled for surgery. The nurse witnesses the surgeon obtain informed consent. After the surgeon leaves, the client states, “I don’t really understand what the risks are, but I signed it because I trust the doctor.” What is the nurse’s best action?

A client with acute stress disorder states to the nurse, “I keep having horrible nightmares about the car accident that killed my daughter. I should not have taken her with me to the store.” Which response by the nurse is most therapeutic?

A nurse is providing medication education to a client who has a new prescription for fluoxetine. The nurse instructs the client to seek immediate medical attention if manifestations of neuroleptic malignant syndrome (NMS) occur. Which of the following findings should the nurse include in the teaching? Select all that apply.

A multigravid client at 34 weeks’ gestation is being treated with indomethacin to halt preterm labor. If the client gives birth to a preterm infant, the nurse should notify the nursery personnel about this therapy because of the possibility for which complication?

A couple visiting the infertility clinic for the first time states that they have been trying to conceive for the past 2 years without success. After a history and physical examination of both partners, what would be the most appropriate outcome for the couple to accomplish by the end of this visit?  

A nurse is reviewing isolation precautions with a newly licensed nurse on a medical-surgical unit. The nurse explains that droplet precautions are required for infections transmitted through large respiratory droplets that travel short distances (typically ≤ 3 feet). For which of the following conditions should the nurse implement droplet precautions? Select all that apply.