An older adult presents to the emergency department with disorientation and confusion. There is no further sign of neurological impairment, no weakness in extremities. Based on these observations, the nurse’s priority assessment should be focused on which body systems? 

A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client? 

You have just received morning report.  Which client would you, the nurse prioritize to see first?

The clinical nurse educator is preparing a presentation for clients who were newly diagnosed with non-Hodgkin lymphoma.  The nurse reviews actions clients should take to reduce the risk of disease related complications. The educator knows the session was effective when the clients make which statement?  

The nurse educator is teaching new nurses in a pediatric unit regarding osteosarcoma. Which statement by a nursing staff indicates a need to provide further instructions?

You are transferring a client with newly diagnosed Chronic Myeloid leukemia to an Extended Care Facility. Which information is most important to communicate to the Charge nurse at the Extended Care Facility? 

Which client should be seen by the nurse FIRST after having received shift report?

A client with breast cancer is scheduled for a Sentinel Lymph Node Biopsy. The nurse explains that this type of biopsy is done to determine which of the following?

A client who had a transurethral resection of the prostate (TURP) 1 day earlier now has a three-way Foley catheter inserted for continuous bladder irrigation. The Intake & Output (I&O) measurement is recorded each shift and is noted below. How much of the output is the true urine output for this client? IV 0.45 NaCl    1,000 mL CBI Irrigant      8,000 mL  PO intake            250 mL Total Output for 12 hours = 9,050 mL     

A 50-year-old client has been receiving an intravenous infusion of heparin for a known right leg deep vein thrombosis and a pulmonary embolism.  Which assessment finding is the most important when reporting your findings to the healthcare provider?