A nurse is caring for a client with a history of gastrointestinal bleeding, sickle cell anemia and a platelet count of 20,000/mm3. Client complains of pain 10 out of 10 and is scheduled to receive morphine sulfate, has tented skin turgor, dark amber urine and shortness of breath. The HCP has prescribed the orders below.  Which order is most important for the nurse to question the HCP about?

The following are the labs results for a client who completed their chemotherapy treatment.  The nurse expects that the oncologist will follow which course of priority action in relation to the client’s lab results?   Hemoglobin:           11.0 g/dL Hematocrit:             33% Platelet Count:       120,000/mm3 WBC:                     800/mm3  

A nurse is developing an educational program to teach a group of adolescents about sexually transmitted infections (STIs). What would the nurse inform the group about the single greatest risk factor contributing to the transmission of an STI?

A 25-year old client who was recently diagnosed with testicular cancer is scheduled to begin chemotherapy.  In client teaching, the nurse’s priority information should include which of the following about sexual function?

Which physical assessment finding in a client with emphysema, left lower lobe pneumonia and copious secretions directly supports the nursing diagnosis of Ineffective Airway Clearance?  

A client has recently returned to the unit from PACU following a vaginal hysterectomy due to fibroids.  The nurse anticipates that her priority assessment intervention would be?

The nurse is caring for a client with a history of urinary retention that reports pain in the suprapubic area of 7/10.   The nurse’s assessment reveals that the abdomen is distended, the client has not voided in 4 hours, and a bladder scan of 300 mL. What is the next intervention?

A client with Sickle Cell Anemia has been admitted to the emergency department with a diagnosis of Sickle Cell Crisis.  What is the priority assessment?

The nurse is providing home care instruction to the parents of a 10-year-old with hemophilia. Which nursing instruction is most important for their child? 

A client receiving chemotherapy for lung cancer is admitted to the hospital for treatment of thrombocytopenia.  Which of the following statements by the client presents a priority concern for the nurse in relation to the thrombocytopenia?