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The critical care nurse is caring for an older adult diagnosed with an epidural hematoma. The following assessment data are collected: opens eyes to pain, flexes abnormally to stimuli, and has no verbal response. The vitals signs are: BP 189/64, RR 10, temperature 98.8 orally, HR 58. What is the priority nursing intervention?

The nurse is admitting a client to the healthcare facility who is in the late stages of pancreatic cancer. In order to comply with the Patient Self-Determination Act, the nurse should:

A client with increased intracranial pressure (ICP) is admitted to the neuro-intensive care unit. Which nursing interventions are appropriate for managing increased ICP? Select all that apply.

A patient with a closed head injury is receiving mechanical ventilation and has a PaCO₂ level of 52 mmHg (normal range: 35-45 mmHg) along with elevated intracranial pressure (ICP). As the nurse, you understand that this PaCO₂ level will?

The neuro intensive care nurse is caring for a client diagnosed with a contrecoup traumatic brain injury who is being mechanically ventilated. To maintain intracranial pressure within acceptable levels, the most appropriate respiratory goal is to:

The 39-year old female client diagnosed with pancreatic cancer has an advance directive (AD) stipulating no cardiopulmonary resuscitation. Which intervention should the registered nurse implement first?

A client is diagnosed with hyperparathyroidism. The nurse would expect which of the following signs/symptoms associated with this disorder? Select all that apply.

When assessing a client in cardiac rehabilitation who is receiving digoxin, what signs and symptoms should the nurse evaluate that may indicate medication toxicity? Select all that apply.

The nurse is providing nutrition counseling to a client diagnosed with diabetes mellitus. Using the Plate Method, of the plate should be non-starchy vegetables, of the plate should be carbohydrates, and of the plate should be protein. (Enter answers in fraction format)

A nurse is caring for a patient with a diagnosis of arterial insufficiency in the lower extremities. Which of the following interventions should the nurse avoid?