52. A patient taking phenytoin (Dilantin) for 2 weeks develops a widespread rash with mucosal involvement and fever. The nurse’s priority intervention is to:

74. Two weeks after total hip arthroplasty, a patient reports the operated leg appears shorter than the other, with severe pain and an ‘out of joint’ sensation. The nurse suspects hip dislocation and should:

64. A patient with HIV has a CD4⁺ count of 180 cells/μL and presents with white patches in the mouth that cannot be scraped off. The nurse recognizes this as:

28. A patient who had a stroke yesterday is alert and asks for water. Before allowing oral intake, the nurse should first:

13. After receiving report on four patients with dementia, which patient would the nurse assess first?

38. A patient with a T6 spinal cord injury is being discharged home. Which instructions would the nurse include to prevent autonomic dysreflexia? (Select all that apply.)

29. A patient receiving IV tPA for ischemic stroke suddenly develops a severe headache and blood pressure rises to 200/120 mm Hg. What is the nurse’s priority action?

23. A patient with suspected bacterial meningitis has orders for blood cultures, lumbar puncture, IV ceftriaxone, and IV dexamethasone. Which sequence would the nurse follow?

54. A patient has a burn on the anterior chest and both entire arms. Using the Rule of Nines, the nurse calculates the total body surface area burned as:

94. A 90-kg burn patient with 35% TBSA requires Parkland formula resuscitation. What is the IV rate for the first 8 hours?