The nurse is assessing a client with asthma that is struggling to breathe.  Which new finding is the greatest concern?

The nurse is caring for a client with Guillain-Barre syndrome. What will be the focus of nursing care? (Select all that apply.)

The nurse measures the blood pressure of a client and finds it to be 156/94 mm Hg. What will the nurse emphasize when providing education to the client for blood pressure control? (Select all the apply)

A client who has injested a poison has just arrived via EMS to the ED.  The ED RN knows which of the following is the goal of treatment.

A nurse leader is preparing an in-service on workplace violence. What risk factor should the nurse leader include?

During assessment of a patient with severe anemia, which finding is of most concern to the nurse?

A client who has fallen from a roof is transported to the emergency department by ambulance. The client was unconscious at the scene but is conscious on arrival to the hospital. What is the priority assessment focus for this client?

The nurse is assessing a client’s respiratory status. Which information is of highest priority for the nurse to obtain?

The nurse is assessing a geriatric client with bacterial pneumonia who has become increasingly restless and confused.  Temperature is 100 F, pulse 110 beats/minute, respiratory rate is 26 breathes/minutes.  Which is the priority action by the nurse? 

A client with circumferential burns of both legs develops a decrease in pedal pulses along with a reduction of strength, and new numbness in the toes. Which action should the nurse take first?