A nurse is assessing a client who has sustained a traumatic brain injury. The client’s Glasgow Coma Score (GCS) is 15. Which assessment(s) would the nurse most likely document as evidence of the client’s GCS score? (Select all that apply)

The nurse is preparing to administer the following medications. Which medication should the nurse question?

An older adult client is admitted to the oncology unit for surgical treatment. The client has been on chemotherapeutic agents to decrease tumor size prior to the planned surgery. The nurse caring for the client is aware that what precipitating factors in this client may contribute to acute kidney injury (AKI)? (Select all that apply).

A client is diagnosed with Meniere’s disease. The nurse would most likely expect the client to report which of the following:

A nurse caring for a client diagnosed with liver failure is performing an assessment. Which factor most likely contributes to this client’s bleeding issues? 

A 72-year-old client is being treated for an ischemic stroke. The effects of the client’s stroke include: slurred, partially intelligible speech. However, the client’s comprehension of spoken language remains intact. The nurse should expect to document this finding in the client’s as:

A client’s vision is tested with a Snellen chart. The results of the tests are documented as “20/60”. What action would the nurse implement based on this finding?

A nurse is caring for a client who is receiving mydriatic eye drops for glaucoma.  Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect?

A client comes to the ophthalmology clinic for an eye examination. The client tells the nurse often seeing floaters in their vision. How would the nurse best interpret this subjective assessment finding?

A client has been diagnosed with conductive hearing loss and has asked the nurse to explain the cause of the hearing problem. Which of the following statements demonstrates that the nurse is correct in their understanding of conductive hearing loss ?