A patient presents with severe pain in the arms and legs, fatigue, and shortness of breath. The patient’s blood contains abnormally shaped red blood cells that can become rigid and block small blood vessels, causing tissue ischemia. Vital signs reveal tachycardia and mild fever. Which nursing intervention is the highest priority?

A pediatric client with a hereditary coagulation disorder characterized by absence of factor VIII reports sudden pain and swelling in the knee after bumping it while playing. The nurse notes limited range of motion. Which is the most appropriate nursing action?

A patient is admitted with reports of right lower quadrant abdominal pain, nausea, and mild fever. Which nursing intervention should the nurse implement first?

A nurse is reinforcing teaching with a client diagnosed with thrombocytopenia. Which statement by the client demonstrates correct understanding of self-care at home?

A patient with congestive heart failure is prescribed 60 mg IV furosemide (Lasix). The available vial is 20,000 mcg/mL. How many mL will the nurse prepare?

A nurse is reinforcing teaching with a client scheduled for a serum ferritin test to evaluate for anemia. Which of the following statements made by the client indicates understanding of the teaching?

A patient presents with fatigue and dark urine. During the physical assessment, the nurse observes yellowing of the sclera and skin. Which additional assessment finding would most likely support the presence of jaundice?

A client presents to the emergency department with chest pressure and shortness of breath. The provider orders a 12-lead ECG. The client asks, “Why do I need this test? Are you checking to see if my arteries are blocked?” Which response by the nurse is most appropriate?

An infant with Tetralogy of Fallot becomes easily fatigued during feeding. Which nursing intervention is the most appropriate to help the infant maintain adequate nutrition?  

A nurse is assessing a client and hears a harsh systolic murmur best heard at the right second intercostal space. The client also reports feeling dizzy when walking short distances. Which explanation best describes the physiological cause of this murmur?