A nurse is assessing a client who presents with sudden severe epigastric pain radiating to the back, nausea, and abdominal tenderness. The client is tachycardic and appears anxious. Which of the following should the nurse prioritize?

A nurse attempts to insert a standard Foley catheter into a 76-year-old male client with known benign prostatic hyperplasia (BPH) who is experiencing acute urinary retention. The nurse meets resistance during insertion and the client reports discomfort. What is the most appropriate next action?

A 48-year-old male with a history of IV drug use is newly diagnosed with hepatitis C. He appears anxious and asks the nurse, “Does this mean I’m going to die of liver cancer?” Which of the following responses by the nurse is most appropriate?

A 35-year-old unhoused patient presents to the clinic with intense pruritus, especially at night. The nurse suspects scabies. Which of the following nursing actions is most appropriate when educating the patient about the prescribed scabicide (Permethrin) treatment regimen ?  

A patient is admitted for surgical repair of a femur fracture sustained in a motor vehicle accident 36 hours ago.  Which finding does the nurse recognize as a late sign of fat embolism syndrome (FES)?   

A nurse is teaching a group of nursing students about the pathophysiology of alcoholic liver disease. Which of the following statements by a student indicates a correct understanding?

A nurse is caring for a client admitted with fulminant hepatic failure. The client is increasingly lethargic, has yellow sclera, and is noted to have petechiae on the arms and gums. Which of the following is the priority nursing action?

A 25-year-old patient is admitted with suspected meningitis. The patient is alert, oriented, and afebrile but reports a worsening headache, nausea, and photophobia. Cerebrospinal fluid (CSF) obtained via lumbar puncture is clear and shows normal glucose, slightly elevated protein, and a predominance of lymphocytes. Based on these findings, which of the following is the nurse’s best action?

A nurse is assessing an older adult male client for symptoms of benign prostatic hyperplasia (BPH). Which of the following findings should the nurse recognize as consistent with BPH?

A client with a history of cirrhosis is admitted with hematemesis and hypotension. The nurse notes abdominal distention, scleral jaundice, and a heart rate of 122 bpm. Which of the following provider orders should the nurse prioritize to prevent further complications?