An adult client was burned in an explosion. The burn initially affected the client’s entire face (anterior half of the head) and the upper half of the anterior torso, and there were circumferential burns to the lower half of both arms. The client’s clothes caught on fire, and the client ran, causing subsequent burn injuries to the posterior surface of the head and the upper half of the posterior torso. Using the Rule of Nines, what would be the extent of the burn injury?

The nurse is caring for a patient who has experienced cardiac arrest. Which of the following cardiac rhythms require immediate defibrillation? Select all that apply.

A client receiving an antiarrhythmic medication develops polymorphic ventricular tachycardia with twisting QRS complexes around the baseline.Additional findings:•    Magnesium: 1.1 mg/dL•    Potassium: 3.3 mEq/L•    QT interval is prolonged•    Client has a pulse but is becoming increasingly lethargicWhich intervention should the nurse anticipate first?

A client with schizophrenia states, ‘The voices are telling me to stab another patient.’ Which nursing action should the nurse perform FIRST?

A 69-year-old client with severe chronic obstructive pulmonary disease, with a forced expiratory volume in 1 second (FEV1) of 25% predicted, arrives in the emergency department with worsening dyspnea.Assessment Findings:•    Respiratory rate: 32/min•    Heart rate: 124/min•    Blood pressure: 158/90 mm Hg•    Oxygen saturation: 78% on room air•    Marked accessory-muscle use•    Unable to speak in complete sentences•    Diffuse expiratory wheezes•    Alert, anxious, and increasingly fatiguedArterial Blood Gas Results:•    pH: 7.28•    Partial pressure of carbon dioxide: 68 mm Hg•    Bicarbonate: 31 mEq/L•    Partial pressure of oxygen: 48 mm HgWhich intervention should the nurse anticipate first?

The nurse is caring for a client that just underwent bariatric surgery and is continuously rushing to the bathroom after meals. The nurse explains that this is called dumping syndrome. Which of the following statements regarding dumping syndrome are true? Select all that apply.

A client with DIC has active bleeding. Which prescription should the nurse implement first?

A client who is prescribed insulin glargine has received teaching about self-administration. Which statement by the client indicates a need for further teaching?

A patient is discharged on warfarin for atrial fibrillation. Which statement by the patient indicates a need for further teaching?

What advice would the nurse give to the client who has undergone an ostomy procedure and has diarrhea?