A client has a prescription to take guaifenesin. The nurse determines that the client understands the proper administration of this medication if the client states that they will perform which action?

A 68-year-old patient who is ready for discharge from the emergency department has a new prescription for nitroglycerin 0.4 mg sublingual as needed for angina. Which patient information has the most immediate implications for teaching?

A toddler is brought to the health center for a fever of 102°F (39°C) and a sore throat. As the nurse places the toddler and his parents in the examination room, the child experiences a tonic-clonic seizure. Which nursing action is a priority?

The nurse makes a home visit to evaluate a hypertensive patient who has been taking enalapril. Which finding is most important to report to the health care provider?

The nurse in a labor room is preparing to care for a client with hypertonic uterine contractions. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. What is the priority nursing action?

The nurse asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that further teaching is needed about administration of the eye medication?

The emergency department nurse is caring for a child diagnosed with epiglottitis. In assessing the child, the nurse would monitor for which indication that the child may be experiencing airway obstruction?

The nurse is assessing a client in the fourth stage of labor and notes that the fundus is firm but that bleeding is excessive. Which would be the initial nursing action?

A client has frequent bursts of ventricular tachycardia on the cardiac monitor. Which factor is highest priority with regard to this dysrhythmia?

The client comes into the emergency department complaining of chest pain and dyspnea.  If the nurse is taking the client’s vital signs, what is the nurse doing?