Based on the information in the accompanying figure obtained for a patient in the emergency department, which action will the nurse take first? History Physical Assessment Diagnostic Exams Age 23 Right lower leg injury Reports severe right lower leg pain Reports feeling short of breath Bone protruding from right lower leg WBC: 9400/uL Hgb 11.6 g/dL Right leg x-ray: right tibial fracture

The nurse is performing an assessment and taking a history of a client.  Which finding should be immediately reported to the health care provider?  

   The provider has ordered 7,500 units of epogen. How many mL will the nurse administer? Round to the nearest tenth. ____ mL _______

Two units of packed red blood cells have been prescribed for a client who has experienced a gastrointestinal bleed. The client is highly reluctant to receive a transfusion, stating, “I’m terrified of getting AIDS from a blood transfusion.” How can the nurse best address the client’s concerns?

The client with terminal lung cancer is considering hospice care. Which statement(s) made by the client indicate the client understands hospice care?  Select all that apply.   

A client who is receiving end-of-life care has been experiencing severe pain since being diagnosed. As a result, the client has been receiving analgesics on both a scheduled and PRN basis. For the past several hours, however, the client’s level of consciousness has declined and they are now unresponsive. How should the client’s pain control regimen be affected?

A nurse is completing a health history on a client with chronic gastritis. Which of the data should the nurse consider most significantly related to the etiology of the client’s health problem?

The nurse is developing a plan of care for a client whose scheduled surgery will last approximately 3 hours. Which of the following intraoperative nursing interventions should the nurse prioritize?

A client who has hepatic encephalopathy is receiving lactulose.  Which finding by the nurse best indicates that the medication was effective? 

The nurse planning a client teaching session intends to address the topics of incision splinting and leg exercises.  When is the best time for the nurse to provide teaching?