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A client with angina has been informed by the provider that lifestyle changes should be made to prevent a myocardial infarction.  Which of the following could be included in the plan for prevention?  SELECT ALL THAT APPLY

The nurse on neurology unit is assigned to four clients. Which client will the nurse assess first?

A newly admitted client has a post traumatic brain injury and multiple fractures.  The client’s eyes remain closed, and there is no evidence of verbalization or movement when the nurse performs a sternal rub.  What score on the Glasgow Coma Scale should the nurse document?  Record your answer using whole number

A client with chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF) is ordered strict I & O. The client has had the following intake during the shift: 8 oz cranberry juice, 1/2 cup oatmeal, 2 slices toast, 12 oz black coffee, tuna fish sandwich, 1 cup fruit flavored jello, 10 oz chicken broth, 8 oz 1% milk and 16 oz of water. What will the nurse record as the client’s fluid intake? DO NOT INCLUDE ml in your answer. 

A 36-year-old client with relapsing-remitting multiple sclerosis is admitted with new increased lower-extremity weakness, incontinence, and blurred vision in the right eye. The client usually walks independently, now requires two-person assistance. This morning, the nurse notes that the client has a flat affect, frequently refuses physical therapy, and states, “What’s the point? Every time I start to get better, I just get worse again.” Which of the following is the most important priority within the plan of care? 

The nurse is preparing a client with multiple sclerosis for discharge from the hospital to home. Which of the following instructions is most appropriate when teaching this client?

H&P: 24 y/o healthy male comes to the emergency department (ED) after a motor vehicle accident (MVA). Transported to the ED via a spinal backboard and with a cervical collar to maintain head and neck alignment. Per emergency services, the client was unconscious at the site of the MVA and regained consciousness after 4 minutes. Client has since awakened and is ALOx3, moving all extremities. Client c/o dull headache, dizziness, and unable to remember how the accident occurred. No visual changes, weakness, or incontinence. No significant past medical or surgical history, except for a concussion during high school while playing contact football. Denies alcohol, tobacco, or illicit drug use.  Physical Assessment:  1/18/22 at 0943: VS as followed: 99.2F, Pulse: 98 and regular, Blood pressure: 134/81mmHg, and respirations: 20 and regular. ALOx3. GSC: 15. Skin has scattered bruising and scabs. Pupils equal and reactive, periorbital ecchymosis present. Heart and lung sounds normal. Head normocephalic with mild swelling to the basilar area of the head. Neck exam WNL w/ full range of motion. Abd soft, nontender, with positive bowel sounds.    For each finding, specify if the finding is a risk factor or not a risk factor for spinal injury.

A nurse educator is educating new nurses about the various medications used to manage seizure disorders. Which of the following medications should the nurse include as commonly used for the treatment of seizures? Select all that apply

A nurse educator is educating new nurses about the various medications used to manage seizure disorders. Which of the following medications should the nurse include as commonly used for the treatment of seizures? Select all that apply

H&P: 24 y/o healthy male comes to the emergency department (ED) after a motor vehicle accident (MVA). Transported to the ED via a spinal backboard and with a cervical collar to maintain head and neck alignment. Per emergency services, the client was unconscious at the site of the MVA and regained consciousness after 4 minutes. Client has since awakened and is ALOx3, moving all extremities. Client c/o dull headache, dizziness, and unable to remember how the accident occurred. No visual changes, weakness, or incontinence. No significant past medical or surgical history, except for a concussion during high school while playing contact football. Denies alcohol, tobacco, or illicit drug use.  Physical Assessment:  1/18/22 at 0943: VS as followed: 99.2F, Pulse: 98 and regular, Blood pressure: 134/81mmHg, and respirations: 20 and regular. ALOx3. GSC: 15. Skin has scattered bruising and scabs. Pupils equal and reactive, periorbital ecchymosis present. Heart and lung sounds normal. Head normocephalic with mild swelling to the basilar area of the head. Neck exam WNL w/ full range of motion. Abd soft, nontender, with positive bowel sounds.    For each finding, specify if the finding is a risk factor or not a risk factor for spinal injury.