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

The nurse is caring for a client ordered warfarin 7.5 mg orally daily. The nurse understands it is imperative to monitor daily labs. What is the priority lab for this patient? 

The homecare nurse is teaching the client how to self-administer eye drops to treat glaucoma.  Which of the following actions should the client perform first?

Anticholinergic agents administered during the treatment of Parkinson’s disease are given to control or minimize all of the following symptoms except:

The nurse is caring for a 52 year old male with Parkinson’s disease which is progressing rapidly. The client has made it clear that his preference is to receive hospice care at home. What interventions should the nurse prioritize in the plan of care? 

The nurse is caring for a client who presents with severe right-sided flank pain, nausea, and vomiting. The client denies any past medical history. Vital signs: Temperature 98.2° Fahrenheit, Blood pressure 92/52 mmHg, Pulse: 118 beats/min, Respirations: 22 breaths/min, O2 Saturation: 95%. The priority nursing action is to:

A client is on a ventilator in the intensive care unit (ICU).  Which of the following measures should the nurse implement to prevent ventilator acquired pneumonia (VAP)?

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?