The nurse is caring for a client with Guillain-Barre syndrome. Which priority intervention should the nurse include in the plan of care?

The nurse is caring for a client with a recent diagnosis of myasthenia gravis and begins treatment with pyridostigmine bromide. Which assessment findings indicate to the nurse the treatment is effective? Select all that apply

The nurse is discussing professional liability with a group of new graduates. Which of the following situations may lead to professional liability for the nurse? Select all that apply

The nurse is caring for a client status post craniotomy who has a respiratory rate of 10 breaths per minute, heart rate of 77 beats per minute, and blood pressure of 112/67 mmHg. Which post-operative prescription should the nurse question?

A client in the oliguria phase of acute kidney injury (AKI) has a urine output of 250 mL over the past 24 hours, crackles in the lungs, edema, and jugular vein distention. Lab results show potassium 6.5 mEq/L, sodium 128 mEq/L, and BUN 75 mg/dL. The client reports shortness of breath and chest discomfort. What is the nurse’s priority intervention?

The healthcare provider ordered IV 2,500 mL D5NS to infuse in 24 hours with a drop factor of 10 gtt/mL. What is the calculated flow rate in gtt/min? Round to the nearest whole number [BLANK-1]

A nurse is assessing a client who was found unconscious at home after a suspected stroke. The client opens her eyes only to painful stimuli, makes incomprehensible sounds, and withdraws her hand when a painful stimulus is applied. What is the client’s Glasgow Coma Scale (GCS) score? Glasgow Coma Scale Parameter Finding Score Eye-opening Spontaneously 4 To speech 3 To pain 2 Do not open 1 Best verbal response Oriented 5 Confused 4 Inappropriate speech 3 Incomprehensible sounds 2 No verbalization 1 Best motor response Obey command 6 Localizes pain 4 Withdraws from pain 4 Abnormal flexion 3 Abnormal extension 2 No motor responses 1  

The healthcare provider ordered to infuse 1,000 units/hr of heparin IV for a solution. IV of 1000 mL 0.45% NS with 25,000 units of heparin is available.  What is the calculated flow rate in mL/hr?  Round to the nearest whole number [BLANK-1]

A nurse is caring for a client diagnosed with Guillain-Barré syndrome. The client states, “It’s getting harder to take a deep breath.” Upon assessment, the nurse notes that the client’s respiratory rate is 28 breaths per minute, with shallow respirations, weak hand grips, and diminished deep tendon reflexes. The client also reports difficulty swallowing. What priority action should the nurse complete next?

A nurse is assessing a client who has a suspected diagnosis of Guillain-Barré syndrome (GBS). Which information is important for the nurse to include in the health survey?