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The nurse is caring for a client with a traumatic brain injury receiving dexamethasone (Decadron) 4 mg IV every 6 hours. The client’s vital signs are Temperature: 99.0°F BP: 160/90 HR: 120 Respirations: 16 O2 Sat: 95%.   Which of the following assessment information would require immediate intervention?

A client in hypovolemic shock is receiving a unit of PRBC due to GI bleeding. The nurse assesses the client after 15 minutes and the client complains of flank pain develops urticaria and shortness of breath.  The nurse suspects [condition]. The nurses priority action is [priority] and to monitor [parameter]  

Emergency medical services (EMS) arrive on the scene of a thermal burn victim. Upon transport and arrival in the emergency department, the nurse expects, based on the priorities of emergency/resuscitative care of burns, EMS will have completed which tasks on scene? 

You note an order for 5 units insulin lispro with each meal and at bedtime in a patient’s MAR. Which action is most appropriate regarding the nurse’s administration of this medication? Administer it _____________________________________.

You are educating a client about their new medication, levothyroxine. Which finding, if noted in your assessment, might indicate an adverse effect is developing? 

Identify a true statement about the avoidant attachment style for adults.

Which of the following statements is true about American cohabitation rates since 1960?

What are two neurotransmitters involved in regulating sleep?

Explain succinctly why on Day One of the Unknown project each broth is stained with Gram stain and an Acid Fast stain. 

What is the color of endospores in the lab Endospore staining protocol?