A nurse is caring for a 56-year-old female client 6 hours after modified radical mastectomy with axillary lymph node dissection. The client reports difficulty performing deep breathing exercises due to pain. What action should the nurse take first?

A nurse is providing discharge teaching to a client with a fiberglass cast on the right forearm following closed reduction of a fracture. What instruction should the nurse include?

A 64-year-old client is newly diagnosed with prostate cancer. The client asks about the typical pattern of cancer spread. What information should the nurse provide?

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?