A client with multiple injuries is brought to the emergency department (ED) by ambulance. The client has an intact airway and is breathing spontaneously. The ED nurse does not see any active bleeding, but will suspect internal hemorrhage based on what finding?

A client is admitted from a nursing home with confusion and a respiratory rate of 28 breaths/min. The client has a heart rate of 122 beats/min and blood pressure of 76/42 mm Hg. What interventions will the nurse anticipate need to be completed within the next 3 hours? (Select all that apply.)

The nurse is caring for an adult client who had symptoms of unstable angina upon admission to the hospital. What is the underlying nursing diagnosis associated with angina that guides the care of the client?

The nurse is caring for a 39-year-old woman with a family history of breast cancer. She requested a genetic testing for breast cancer and the results have come back that she is positive for genetic breast cancer. As a result, the client is requesting a bilateral mastectomy. This surgery is an example of what type of oncologic surgery?

A client is receiving treatment for small cell lung cancer. Which laboratory result would be priority for the nurse to report?

A client has esophageal cancer that is invasive. The client has developed a pericardial effusion. He has retrosternal chest pain and is becoming increasingly dyspneic. The nurse assesses the client and finds muffled heart tones, pulsus paradoxus, and distended jugular veins. What condition has the client likely developed?

The nurse is caring for a mechanically ventilated client and responds to a high inspiratory pressure alarm. Recognizing possible causes for the alarm, the nurse assesses for which of the following? (Select all that apply.)

The nurse is caring for a client admitted with an overdose of oxycodone. What is the nurse’s priority responsibility in caring for this client?

A client with severe burns is admitted to the intensive care unit to stabilize and begin fluid resuscitation before transport to the burn center. The nurse will monitor the client closely for what signs of the onset of burn shock?

A nurse is educating a nursing student about the benefits of family presence during resuscitation. Which of the following will the nurse list as a benefit of having the family present during resuscitation?