A client with seizure disorder is prescribed a moderately high dose of phenytoin.  Which teaching topic should the nurse discuss with this client?

The nurse is assessing the cranial nerves and begins testing the facial nerve (cranial nerve VII).  Which direction should the nurse give the client to test this cranial nerve?

The nurse cares for a client admitted with severe burns who is now on fluid resuscitation therapy.  Which assessment findings would best indicate that fluid resuscitation has been successful?

A patient recently diagnosed with breast cancer asks the nurse what it means that the tumor is “high-grade.” The pathology report states poorly differentiated cells with rapid mitotic activity. Which tumor grade classification is most consistent with aggressive growth and a high likelihood of metastasis?

The nurse is caring for a client experiencing autonomic dysreflexia. What action should the nurse perform first?

62-A patient reports burning pain followed by the sudden appearance of clustered, fluid-filled vesicles on an erythematous base, aligned along a single dermatome on the torso. The lesions do not cross the midline. The patient also reports fatigue and mild headache.Which condition is most likely?

A nurse is teaching a client diagnosed with a vaginal yeast infection (candidiasis) about symptom recognition. Which statement by the client indicates understanding of common symptoms?

The nurse assessing a client notices pearly white plaque-like lesions on the mouth mucosa.  The nurse understands that which client is at highest risk for oral candidiasis?

   The nurse is caring for a client who had a near-drowning accident in cold weather.  Which assessment finding indicates the most severe injury?

A patient with a known Stage IV sacral pressure injury becomes increasingly lethargic. The nurse notes fever (101.9°F / 38.8°C), tachycardia (HR 124), hypotension, and purulent drainage with a foul odor from the wound.What is the priority nursing action?