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The nurse is caring for a client with hypovolemic shock who is bleeding from a traumatic injury to the upper chest wall. What is the priority nursing action?

A nurse is caring for a patient who has been declared brain-dead and is a potential organ donor. What is the primary focus of nursing care for this patient? 

A hospitalized 68-year-old client has a biventricular pacemaker placed in the right subclavicular area. The nurse is providing care following the procedure and is initiating postprocedure teaching. Which findings following postprocedure assessment and teaching are unexpected and therefore require additional follow-up? Select all that apply.

A nurse is assessing a patient with suspected Acute Respiratory Distress Syndrome (ARDS). Which clinical finding is most indicative of ARDS? 

A nurse is collecting the medical history from a patient who has manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the patient if he has a history of which of the following conditions that can cause SIADH?

A nurse is caring for an ICU patient experiencing anaphylactic shock after receiving an antibiotic. The patient’s current vital signs are T 99.3, RR, 22, O2 95% on room air, HR 122, BP 98/54. Which intervention should the nurse prioritize first? 

An emergency department triage nurse is evaluating a patient reporting general malaise. The assessment reveals jaundice and increased abdominal girth. Which question would best help determine the cause of the patient’s symptoms? 

The nurse is teaching the patient about open-heart surgery. Which of the following items is NOT part of the teaching plan?

A nurse is assessing a patient newly diagnosed with HIV. Which symptom is most commonly reported during the acute stage (stage I) of HIV infection? 

When assessing a 22-year-old patient who has just arrived after an automobile accident, the emergency department nurse notes that the breath sounds are absent on the right side. The nurse will anticipate the need for: