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 After confirming that a patient in ventricular tachycardia is unresponsive and pulseless, what is the next priority action?

A client arrives to the emergency department with fever, severe headache, photophobia, nuchal rigidity, and nausea. The nurse suspects bacterial meningitis based on these assessment cues. Which action should the nurse take next?

A nurse receives a phone call informing them of a bomb threat at the hospital. The caller is vague and does not provide clear details. Which of the following actions should the nurse take first?

The nurse is caring for a client on a mechanical ventilator when the high-pressure alarm begins to sound. On assessment, the nurse notes an increased respiratory rate, visible secretions in the endotracheal tube, and coarse crackles on auscultation. What is the nurse’s priority action?

The physician ordered Dilantin 10mg/kg PO x 1 as a loading dose. The client weighs 80 kg, how many mg of Dilantin will the nurse administer?

A client is receiving continuous heparin infusion for a pulmonary embolism. The nurse notes the client has new onset of hematuria and a blood pressure of 88/52 mm Hg. Which action should the nurse complete first?

The nurse is caring for a client with the following arterial blood gas (ABG) results: pH 7.37, PaCO2 55.4 mm Hg, PaO2 51.2 mm Hg, and HCO3− 38 mEq/L. What is the nurse’s primary interpretation of these results?

A client receiving mechanical ventilation becomes agitated and suddenly self-extubates. The nurse enters the room and finds the client coughing forcefully, with oxygen saturation dropping to 84%, tachypnea, and use of accessory muscles. What is the nurse’s priority action?

A nurse is caring for a client with diabetic ketoacidosis (DKA) who is receiving continuous IV insulin therapy. The client’s current serum glucose is 340 mg/dL. The nurse prepares to adjust the insulin infusion rate. Which intervention is the priority to prevent complications associated with insulin therapy?

A client has just been extubated. Shortly afterward, the nurse observes that the client is becoming increasingly restless and agitated. Which action should the nurse take first?