A nurse is assessing a 68-year-old patient with a history of congestive heart failure (CHF) who reports swelling in their legs, fatigue, and difficulty breathing when lying flat. The healthcare provider suspects right-sided heart failure. Which of the following findings is most indicative of right-sided heart failure?

A 32-year-old patient presents to the clinic with a painless ulcer on their genital area that has been present for two weeks. The patient also reports mild fatigue but no other symptoms. The healthcare provider diagnoses primary syphilis based on physical findings and a positive Rapid Plasma Reagin (RPR) test. Which treatment is most appropriate for this patient?

A nurse witnesses a 45-year-old individual in a restaurant clutching their throat, unable to speak, and exhibiting the universal sign of choking. The individual is conscious but appears to be in severe respiratory distress. What is the most appropriate initial action for the nurse to take?

A nurse is educating a 30-year-old patient who reports difficulty falling asleep and staying asleep. The patient states, “I feel tired all the time, and my sleep schedule is all over the place because of my late-night work hours.” The nurse explains the importance of maintaining proper sleep hygiene and supporting the body’s circadian rhythm. Which recommendation by the nurse is most effective for improving the patient’s sleep quality?

A nurse is caring for a 32-year-old patient with a T6 spinal cord injury who suddenly develops severe headache, flushing above the injury level, nasal congestion, and a blood pressure of 190/110 mmHg. The patient reports feeling anxious. The nurse suspects autonomic dysreflexia. What is the priority nursing intervention in this situation?

A nurse is caring for a 35-year-old patient recently diagnosed with cancer. During a conversation, the patient states, “I feel like my life is over now. I don’t know how to cope with this diagnosis.” The nurse uses therapeutic communication to provide support. Which response by the nurse demonstrates therapeutic communication?

A nurse is caring for a 58-year-old patient in the emergency department presenting with chest pain radiating to the left arm, shortness of breath, and nausea. The patient’s ECG confirms ST-segment elevation consistent with myocardial infarction (MI). The nurse implements the MONA protocol as part of the initial management. Which interventions are appropriate when applying the MONA protocol for this patient? (Select all that apply)

A nurse is caring for a 62-year-old patient who underwent total hip replacement surgery. The patient is at risk for developing deep vein thrombosis (DVT) due to immobility following the procedure. The nurse plans to implement preventive measures. Which intervention is most effective for preventing DVT in this patient?

A nurse is providing a complete bed bath for a 75-year-old patient who is immobile due to a stroke. The nurse explains the process to the patient before beginning. Which sequence of steps should the nurse follow to ensure proper hygiene and prevent infection during the bed bath?

A nurse is caring for a 40-year-old patient who was recently diagnosed with a chronic illness. The patient states, “I feel so overwhelmed by this diagnosis, and I don’t know how to handle it.” The nurse discusses coping mechanisms and stress management techniques to help the patient adjust. Which statement by the patient indicates effective coping?