Jennifer is a 40-year-old adult with Down syndrome recently diagnosed with early-stage Alzheimer’s disease. She currently lives independently but is beginning to experience memory lapses and difficulty managing finances. Her family is concerned about her ability to continue working and living alone. Which nursing consideration is most important when planning Jennifer’s long-term care?

A client receiving isoniazid (INH), rifampin (RIF), and pyrazinamide (PZA) reports new symptoms to the nurse. Which finding should be the highest priority for the nurse to report to the provider?

A client with Pneumocystis jirovecii pneumonia (PJP) reports increased nighttime coughing and mild chest tightness during ambulation. Current vital signs are: Temperature: 100.5°F (38°C) Heart rate: 112 bpm Respiratory rate: 28/min Blood pressure: 102/64 mmHg O₂ saturation: decreasing from 95% to 88% on room air The client is currently receiving supplemental oxygen via nasal cannula at 2 L/min. Which finding should the nurse report to the healthcare provider first?  

A patient with MS expresses frustration and sadness, stating, “My body keeps failing me, and I don’t know what to expect anymore.” Which nursing response is most therapeutic?

Case Study- A 67-year-old male with a history of chronic hypertension and alcohol use disorder is brought to the ED after suddenly developing a severe headache, vomiting, right-sided weakness, and decreased level of consciousness. His wife reports that he complained of the “worst headache of his life” just before collapsing. On arrival: BP 198/110 mmHg HR 58 beats/min RR 22/min O₂ sat 94% on room air CT scan shows a left intracerebral hemorrhage with mild midline shift.The provider orders IV labetalol for BP control and instructs the nurse to closely monitor neurologic status. Question- Which nursing action is the priority at this time?

Case Study: A 68-year-old patient is admitted with a 3-day history of fever, chills, productive cough with rust-colored sputum, and increasing shortness of breath. The patient has a respiratory rate of 28/min, oxygen saturation of 86% on room air, and auscultation reveals crackles in the right lower lobe. The patient appears fatigued and slightly confused. The provider suspects bacterial pneumonia and requests further evaluation. Question: Which diagnostic finding would be most indicative of pneumonia and help confirm the diagnosis?

A 65-year-old woman is prescribed alendronate, a bisphosphonate, for osteoporosis. During a follow-up visit, she mentions she has lost her appetite and feels nauseated since starting the medication. Which statement best explains the mechanism and potential side effects of bisphosphonates?  

A nurse is teaching a patient with urinary incontinence about lifestyle changes that may help manage symptoms. Which of the following recommendations should the nurse include? (Select all that apply.)

When reading the H&P for your client admitted with heart failure you note that they have an ejection fraction of 15%. You note that the following medications are due at 0900: Lasix 80 mg IV, K-Dur 30 meq po, Metoprolol 25 mg po, and Lisinopril 20 mg po. Your client has a  BP – 96/48, HR – 110, and RR – 20. Which medication would you consider holding? (Select all that apply)

Jaxson Corporation has a cash balance of $18,000 on November 1. The company must maintain a minimum cash balance of $10,000. During November, expected cash receipts are $98,000. Cash disbursements during the month are expected to total $112,000. Ignoring interest payments, during November the company will need to borrow: