A client with high-grade lymphoma is receiving combination chemotherapy. Twenty-four hours after the first treatment, the client reports nausea, generalized weakness, and decreased urine output. Vital Signs Heart rate 110 beats/min Blood Pressure 98/60 mmHg Respiratory rate 19 breaths/min SpO2 96% on room air Temperature 99.8°F (37.7°C)   Lab Result Reference Range Potassium 6.2 mEq/L 3.5–5.0 mEq/L Phosphorus 5.8 mg/dL 2.5–4.5 mg/dL Uric acid 9.5 mg/dL 3.5–7.2 mg/dL Calcium 7.6 mg/dL 8.5–10.5 mg/dL Creatinine 2.0 mg/dL 0.6–1.3 mg/dL Sodium 143 mEq/L 135-145 mEq/L Which provider order should the nurse anticipate?

How will the unit tests be administered?

The nurse is caring for a client with Guillain-Barré Syndrome. Which intervention is most important to include in the plan of care?

A client with a history of epilepsy has been experiencing continuous tonic–clonic seizure activity for 6 minutes without regaining consciousness. The client has oxygen saturation of 88% and is unresponsive. Which provider order should the nurse implement first?

A nurse observes a client suddenly stop speaking and stare blankly for about 10 seconds. The client does not fall, has no jerking movements, and resumes the conversation without awareness of the event. Which type of seizure does the nurse suspect?

A nurse in the emergency department is caring for a client who was brought in after falling off a motorcycle and striking their head. The client reports a severe headache and facial pain. During the assessment, the nurse notes abnormal drainage and visible bruising around the head and face. The nurse obtains vital signs and completes a focused neurologic assessment. The nurse suspects which of the following diagnoses? Vital Signs Heart rate 64 beats/min Blood pressure 162/88 mmHg Respiratory rate 16/min SpO2 96% on room air Temperature 98.3°F (36.8°C)   Assessment Findings Clear fluid draining from the nose Bruising behind the ears Periorbital bruising Complaints of worsening headache Intermittent confusion

A client admitted for a seizure disorder becomes rigid, followed by rhythmic jerking of the extremities. The client is unresponsive, with a clenched jaw and irregular respirations. Which action by the nurse is most appropriate?

A client arrives in the emergency department after a chemical spill to the forearm at work. The affected area is red and painful, and the client states the chemical has been on the skin for approximately 10 minutes. Which action should the nurse take first?

A client receiving chemotherapy reports severe mouth pain and difficulty eating. On assessment, the nurse notes oral ulcerations, erythema, and sensitivity to acidic foods. Which instruction should the nurse prioritize during patient education?

A client with a history of Cushing’s Disease is admitted for evaluation of worsening symptoms. Which of the following orders would the nurse clarify with the provider?