An unconscious male patient has just arrived in the emergency department after a head injury caused by a motorcycle crash. Which order should the nurse question?

The nurse has given medication instructions to the client receiving phenytoin (Dilantin).  The nurse determines that the client has an adequate understanding if the client states that:

The nurse is administering IV fluid boluses and nasogastric irrigation to a patient with acute gastrointestinal (GI) bleeding.  What assessment finding is most important for the nurse to communicate to the health care provider?

Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke?

A nurse monitoring a client who has sustained a head injury would determine that the intracranial pressure (ICP) is rising if which of the following vital sign trends is noted during the course of the work shift?

A patient complaining of episodic headaches describes the pain as 10 (on a scale of 1 to 10), located on the left side, accompanied by nausea, and lasting 2 to 3 days.  These signs and symptoms are consistent with which type of headache?

An appropriate nursing intervention for the patient following cataract surgery is to

Following an esophagogastroduodenoscopy (EGD), the patient asks for orange juice. Before allowing the patient to have fluids, what is essential for the nurse to do first?

A 19-year old is brought to the ED with sudden onset of high fever, nuchal rigidity, and vomiting. The priority nursing intervention is:

In doing a breath sound assessment on a client who has left ventricular failure, the nurse would anticipate the finding of?