A client who suffered a spinal cord injury at level T5 several months ago develops a flushed face and blurred vision. On taking vital signs, the nurse notes the blood pressure to be 184/95 mmHg. What is the nurse’s first action?

A 78-year-old male is recovering on an orthopedic care unit after an open reduction internal fixation (ORIF) of the right hip 2 days ago. The client has a history of right hip fracture, hyperthyroidism, hypertension, and bilateral cataracts. At 7:00 a.m. the client denies pain and statess that he is ready to move to a rehabilitation facility. Thirty minutes later, the nurse returns to complete a shift assessment and notices the client is lethargic, his speech is slurred and he is drooling from the left side of his mouth. What assessment data is of immediate concern? (Select all that apply)

A client who experienced a spinal cord injury arrives to the emergency department 1 hour after the injury. Which medication is most appropriate for the nurse to administer?

In assessing a client with increased intercranial pressure, the nurse notes the client’s right pupil is larger than the left pupil. The nurse correlates the larger right pupil to compression of which cranial nerve?

A 78-year-old client, 2 days post–right hip ORIF, was alert and oriented with clear speech earlier in the morning. Thirty minutes later, the nurse finds the client lethargic, aphasic, and drooling from the right side of the mouth. What is the most likely explanation for the client’s current condition?

When teaching a client about the importance of balanced nutrition, the nurse explains that the intrinsic factor needed for Vitamin B12 absorption is secreted in which body part? 

Which client would most likely require total parenteral nutrition (TPN)?

What is the medical term for elements found in food that are necessary for good health but the body cannot make?

A nurse gets a positive Trousseau’s sign on a young woman with bulimia who has been giving herself frequent enemas containing phosphate. What laboratory finding does the nurse anticipate to find in the client’s medical record?

A client has been identified as having a dietary deficiency of vitamin D. What other deficiency does the nurse anticipate the patient to have?