A 47-year-old patient was admitted to the medical surgical unit this morning with progressive weakness and difficulty walking that began 10 days ago. The patient reports a recent respiratory infection two weeks ago and has a history of influenza vaccination last month. On assessment, the patient demonstrates bilateral lower and upper extremity weakness, shallow respirations, and diminished breath sounds. Diagnostic results include: Cerebral Spinal Fluid (CSF) protein: 190 mg/dL (Normal: 15–45 mg/dL) Cerebral Spinal Fluid (CSF) WBC: 3 cells/mm³ (Normal: 0–5 cells/mm³) ALT: 85 U/L (Normal: 7–56 U/L) AST: 72 U/L (Normal: 10–40 U/L) Serum creatinine: 1.6 mg/dL (Normal: 0.6–1.2 mg/dL)  Which nursing action is the priority for this patient?

You are a nurse caring for four clients on a medical surgical unit. Review the following client information.   Which client do you see first?

The nurse is caring for a client on a medical-surgical hospital unit. Following a generalized seizure the client is tired, drowsy, and requires physical touch to respond. What intervention should the nurse implement following the seizure?

A nurse is providing client teaching to a client starting phenytoin (Dilantin ®). Which is the most important teaching for this client?

The nurse is talking with a client at a flu clinic. The client states they are concerned about their partner because they have started accusing their children of stealing money from others and they seem to be lost when driving in areas that were once familiar to them. What is the best response by the nurse?

A nurse is working in a long-term care facility and notices changes in a 76-year-old client.  The nurse suspects the client is having an acute stroke.  Which of the following are common manifestations of an acute stroke?(Select all that apply.)

A community health nurse is teaching a group of male clients on nutritional measures to decrease the risk of developing prostate cancer.  Which response by the client indicates the education was understood. 

The nurse is assigned to a client diagnosed with myasthenia gravis. The nurse recognizes the best description of this disease is:

The nurse recognizes that the top risk factors for developing Alzheimer’s disease are. Select all the apply: 

The focus of public education about “Brain Attack” is on early detection, transport to the hospital and treatment of strokes. Which of the following represents the priority rationale for this?