33. A patient with myasthenia gravis who takes pyridostigmine (Mestinon) reports increased muscle weakness, excessive salivation, and abdominal cramping. The nurse suspects:

55. A 70-kg patient with 40% TBSA burns arrives 1 hour after injury. Using the Parkland formula, what is the total volume of Lactated Ringer’s for the first 24 hours?

91. A patient in anaphylaxis requires epinephrine 0.5 mg IM. The available concentration is 1 mg/mL (1:1000). How many mL will the nurse administer?

72. A patient one day after posterior lumbar fusion develops new bilateral leg weakness and loss of bladder control. The nurse recognizes this as a potential:

71. A patient 6 hours post-ORIF of the tibia reports severe pain rated 10/10 that is unrelieved by IV morphine. The nurse’s most important action is to:

47. A patient reports seeing flashing lights, a sudden shower of floaters, and a ‘dark shadow’ starting at the edges of vision in the left eye. Which action is most appropriate?

51. When assessing a patient with jaundice, which area would the nurse examine first for the earliest sign of yellowing?

52. A patient taking phenytoin (Dilantin) for 2 weeks develops a widespread rash with mucosal involvement and fever. The nurse’s priority intervention is to:

74. Two weeks after total hip arthroplasty, a patient reports the operated leg appears shorter than the other, with severe pain and an ‘out of joint’ sensation. The nurse suspects hip dislocation and should:

64. A patient with HIV has a CD4⁺ count of 180 cells/μL and presents with white patches in the mouth that cannot be scraped off. The nurse recognizes this as: