A nurse is monitoring a client with a T2 spinal cord injury in the emergency department. The client’s initial blood pressure was 82/48 mm Hg with heart rate of 50 beats/min. After treatment, the blood pressure is 94/60 mm Hg. What parameter should the nurse continue to monitor to prevent secondary spinal cord injury?

A nurse is assessing a client 6 hours after cast application for a tibial fracture. The client reports severe pain rated 9/10 unrelieved by morphine and pain with passive toe extension. What action should the nurse take first?

A 26-year-old female client presents to the clinic with multiple painful genital vesicles, fever, headache, and malaise. She reports this is her first episode of these symptoms. What clinical finding would the nurse expect to distinguish this primary genital herpes episode from a recurrent episode?

A nurse is developing a community education program targeting STI prevention for young adults aged 18-25. What intervention strategy most effectively addresses the rising STI rates in this population?

A 35-year-old client diagnosed with testicular cancer expresses concern about feeling “less of a man” after treatment. What nursing response addresses the psychologic impact most appropriately?

A 24-year-old female client presents to the clinic with mucopurulent vaginal discharge and dysuria. Testing confirms chlamydia infection. The nurse recognizes that which complication poses the greatest long-term risk for this client?

A 26-year-old female client presents to the clinic with irregular menstrual cycles, facial hair growth, and difficulty losing weight. The nurse suspects polycystic ovary syndrome (PCOS). What clinical finding best supports this diagnosis?

A nurse is assessing a client 6 hours after sustaining a second-degree ankle sprain. The client’s foot appears pale and cool, with capillary refill of 4 seconds. What is the nurse’s priority action?

A 45-year-old female client is scheduled for breast reconstruction using a TRAM flap procedure following mastectomy. What postoperative complication should the nurse monitor for most closely during the first 48 hours?

A community health nurse is developing an STI prevention program for a local high school. The nurse recognizes that which population characteristic most significantly contributes to high STI rates among adolescents?