A nurse is working as a triage nurse in the emergency department. Place the following patients in the order in which they should receive care.  1.    Infant with temperature of 103.2 actively having a seizure.2.    Male patient with acute pancreatitis who smells of alcohol.3.    Female with acute chest pain and reports of shortness of breath. 4.    Adolescent with a blood glucose level of 110 mg/dl.5.    Child with a non-life-threatening cut that needs stitches.

The nurse is suctioning a client through a tracheostomy tube.  During this procedure the nurse notes cardiac irregularities on the monitor.  Which of the following is the most appropriate intervention?

An emergency room nurse is assessing a 60-year-old client who looks disheveled and angry.  As the nurse starts to get her vitals the client accuses the nurse of “hurrying” and “not attending to her needs”.  What should the nurse do next?

A client is on a ventilator in the intensive care unit (ICU).  Which of the following measures should the nurse implement to prevent ventilator acquired pneumonia (VAP)?

A home care nurse should teach the client that for the first week after eye surgery for cataract removal: Select all that apply.

A 60-year-old client has a hematocrit of 55% and a history of polycythemia vera. The nurse is explaining which cardiovascular complication is associated with this diagnosis? 

The multi-organ dysfunction syndrome (MODS), client complains of pain in the distal digits and in the abdomen.  You notice she has multiple petechiae on her skin and that her urine is positive for occult blood.  Select the possible phenomena that might be occurring from the list below:

The nurse is caring for a client in the intensive care unit.  The client is admitted with a traumatic brain injury and has an increased intracranial pressure.  The provider calls the unit and tells the unit secretary to prepare for a lumbar puncture for this patient. The best action by the nurse is to  

A nurse is caring for a client in a coma secondary to brainstem injury.  Nursing interventions in the acute phase are directed toward the goal of:

The nurse is caring for a 52 year old male with Parkinson’s disease which is progressing rapidly. The client has made it clear that his preference is to receive hospice care at home. What interventions should the nurse prioritize in the plan of care?