A nurse is caring for a client with elevated intracranial pressure following a hemorrhagic stroke. Which interventions should be included in the client’s plan of care? (Select all that apply.)

A client is admitted with complaints of polydipsia and polyuria. During the past 12 hours, the client has produced 4,500 mL of dilute urine. Which endocrine disorder should the nurse suspect? 

A nurse is assessing a client receiving treatment for syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding indicates that the treatment has been effective?

A nurse is assessing a client with a goiter who is being evaluated for hyperthyroidism. Which nursing action is inappropriate?

A client is brought to the emergency department after sustaining extensive electrical burns while working on a high-voltage power line. The client is awake and has a patent airway. Which should the nurse implement first? 

A client with rheumatoid arthritis who has been taking methotrexate tells the nurse that she recently had a positive home pregnancy test. Which response by the nurse is most appropriate?

A nurse is caring for clients with Guillain-Barré syndrome and myasthenia gravis. Which assessment should receive the highest priority?

A nurse is participating in a mass-casualty incident using the triage system. Which client should receive a Red triage tag?

A nurse is observing a patient care assistant (PCA) caring for a client with Clostridium difficile (C. difficile) infection. Which action requires immediate intervention by the nurse?

A factory worker is brought to the occupational health clinic after accidentally spilling a concentrated industrial acid on both arms and legs. Which action should the nurse take first?