The nurse enters a room to assess a post-operative client and finds the surgical dressing is covered in blood. The client is lethargic, skin is pale and cool, with a rapid thready pulse. The nurse suspects the client has a post-operative hemorrhage. What should be the nurse’s FIRST action?

The nurse is performing the admission assessment on a client with a body mass index (BMI) that corresponds to class III obesity (morbid obese). The nurse will include which strategy to ensure that an empathic interaction is possible with this client?  

A nurse is caring for a client that has a nasogastric tube attached to suction. The tube was inserted in the right nare. During the initial assessment the nurse finds that the client is lethargic, has dry mucous membranes and the BP is 102/64, RR 16. The nurse sees that the IV is running at 50mL/hr. What is the nurse’s MOST appropriate initial response?  

A client explains to the nurse that there is pain and numbness in their thumb, first finger and second finger of the right hand. The client states they own their own bakery and that the pain increases while working. The client is diagnosed with Carpel tunnel syndrome and has had corrective surgery. The nurse is discharging the client and educates the client to place the hand in what position when home? 

A client is admitted to the medical unit with a diagnosis of DKA. Initial Orders: IV of 0.9% NS 1 liter of fluids to infuse over 4 hours.monitor blood glucose levels every 30 minutes for the first two hours. What additional orders (s) should the nurse expect to receive from the healthcare provider? Select All That Apply 

The nurse is caring for a client who is receiving Hospice Care at home. The client states they have lost their appetite and is refusing to eat or drink. Which nursing action(s) are appropriate for the nurse to implement to care for this client? Select All That Apply. 

The client is to receive 250 mg IM of methylprednisolone (Solu-Medrol) BID. How many mL will the nurse administer for each dose? 

The nurse is caring for a client recently diagnosed with diabetes insipidus. The nurse is reviewing the results of the urine analysis. What is an expected urinalysis finding?

The nurse is preparing to care for a group of clients. The nurse is determining which client is safest to delegate to the UAP. Which situation would it be appropriate for the nurse to delegate the UAP?

The nurse is providing wound care instructions to a group of post operative clients. The nurse identifies a client who may be at risk for ineffective would healing. Which client does the nurse understand is at HIGHEST risk for alterations in wound healing?