You have assessed a comatose client that is having periods of hyperventilation that gradually diminish to apnea, then resume, gradually building to hyperventilation. What documentation would be most appropriate regarding the client’s breathing pattern?

 When administering Neostigmine methylsulfate (Prostigmin) for the treatment of myasthenia gravis, what nursing action is a priority? 

The nurse is assigned four clients on the clinical unit.  Which client should the nurse see first?

A client has been ordered Carbamazepine (Tegretol).  The client should be instructed to avoid what food choices?

Which interventions would be included in the plan of care for a client after eye surgery? Select ALL that apply

A nurse is caring for a 20-year-old male client who has a fever and reports severe headache.Vital Signs at 0800Temperature 38.9° C (102° F); TympanicApical pulse 118/min; strong and regularRespirations 20/min; even and unlabored Blood pressure 114/78 mm Hg Oxygen saturation 97% on room airNurses Notes0800:Client reports missing classes at a local community college the last two days due to fever and headache. Rates pain with headache as a 9 on a scale of 0 to 10. Verbalizes that headache was not relieved by acetaminophen or ibuprofen taken at home. Client awake, alert, and oriented to person, place, and time. Pupils equal, round, and reactive to light. Temperature elevated.  Skin warm and dry, face flushed.  Petechiae noted on trunk.  Reports nausea and vomiting frequent for the last 24 hr. Bowel sounds positive x 4 quadrants. Abdomen soft and nontender to light palpation. Photophobia present.  Nuchal rigidity noted.  Brudzinski’s sign positive. Respirations easy and unlabored.  Lungs clear to auscultation.   The nurse should address the client’s ___________ followed by the client’s ____________.

The nurse is caring for a client with multiple sclerosis. The client has a stage II pressure ulcer on the sacrum. Which intervention will the nurse delegate to the unlicensed assistive personnel (UAP)?

The nurse is observing a client with cerebral edema for evidence of increasing intracranial pressure (IICP). Monitoring the blood pressure for a widening pulse pressure. The current blood pressure is 170/80 mmHg. What is the client’s pulse pressure? (Answer in whole number) _______

Place in the proper order the sequence of events demonstrating the progression of increased intracranial pressure.  Beginning from injury (1) and leading to death (6).   

What assessment information is appropriate to document when recording stimulation of the parasympathetic nervous system?