A client is brought to the emergency department after sustaining extensive electrical burns while working on a high-voltage power line. The client is awake and has a patent airway. Which should the nurse implement first? 

A client with rheumatoid arthritis who has been taking methotrexate tells the nurse that she recently had a positive home pregnancy test. Which response by the nurse is most appropriate?

A nurse is caring for clients with Guillain-Barré syndrome and myasthenia gravis. Which assessment should receive the highest priority?

A nurse is participating in a mass-casualty incident using the triage system. Which client should receive a Red triage tag?

A nurse is observing a patient care assistant (PCA) caring for a client with Clostridium difficile (C. difficile) infection. Which action requires immediate intervention by the nurse?

A factory worker is brought to the occupational health clinic after accidentally spilling a concentrated industrial acid on both arms and legs. Which action should the nurse take first?

A nurse is caring for a client in hypovolemic shock. The client’s airway is patent, and oxygen therapy has been initiated. Which nursing intervention is the priority next step?

A newly placed tracheostomy becomes dislodged on the second postoperative day. Why is this especially dangerous?

Which findings indicate that a patient with a tracheostomy may require suctioning? Select all that apply.

A wet-suction chest drainage system is prescribed at −20 cm H₂O. How is the amount of suction controlled?