The nurse is caring for the following patients. Which of the following should the nurse assess first?

The nurse is caring for four patients in a long-term acute care facility. Which of the following clients indicate a readiness to wean from mechanical ventilation?

A nurse is caring for a client in the surgical intensive care unit preparing for intracranial surgery. During the admission the client gives short quick answers and asks the nurse, “Will this take much longer? I would really like to get some rest before the procedure.” What is the most appropriate action by the nurse? 

A nurse would take which of the following actions as part of routine care for a client who just underwent angiography using the right femoral artery as the insertion site for the catheter?

The nurse is caring for a client diagnosed with a cerebral vascular accident. The client has receptive aphasia. The client will have difficulty with 

The client’s new demand pacemaker rate is set at 54.  The nurse notes the client’s pulse is 56.  What nursing action is indicated?

The nurse is suctioning a client through a tracheostomy tube.  During this procedure the nurse notes cardiac irregularities on the monitor.  Which of the following is the most appropriate intervention?

A client is diagnosed with Acute Kidney Injury related to an intra-renal cause. The nurse identifies which is the most likely cause of the AKI? 

A nursing student is giving to a client with heart failure a medication with a positive inotropic effect on the heart. The student asks what a “positive inotropic” effect is. The correct response would be which of the following?

A nurse is working as a triage nurse in the emergency department. Place the following patients in the order in which they should receive care.  1.    Infant with temperature of 103.2 actively having a seizure.2.    Male patient with acute pancreatitis who smells of alcohol.3.    Female with acute chest pain and reports of shortness of breath. 4.    Adolescent with a blood glucose level of 110 mg/dl.5.    Child with a non-life-threatening cut that needs stitches.