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What response by the nurse demonstrates understanding when administering a vesicant antineoplastic drug? 

The nurse is caring for a client admitted for new diagnosis of seizures. At shift change, the client begins to have a tonic-clonic seizure. The nurse retrieves the following medication.  Order: 10 mg Diazepam IVP prn seizures Available:  How many milliliters will the nurse administer? 

The nurse has started intravenous infusion of Levetiracetam (Keppra) for seizure management. Which of the following finding would be expected during the postictal state?

A client is being admitted to the neurologic ICU following an acute head injury that has resulted in cerebral edema. The nurse observes the client have a tonic-clonic seizure lasting 10 seconds. After administering intravenous Lorazepam (Ativan) to abort the seizure, which of the following should the nurse assess first?

The nurse caring for a client admitted to the hospital performs a head-to-toe assessment and notes this image after inspecting the oral cavity. After reviewing the client’s medication list, the nurse suspects this presentation to be a result of which medication?

A client has been diagnosed with an acute infection. Which lab finding is consistent with inflammation?

A client has been started on Gabapentin (Neurontin) for seizure management. For the duration of treatment with Gabapentin, the nurse should teach the client to eliminate which of the following to prevent adverse effects?

A client undergoes the Tensilon test using Edrophonium to confirm the diagnosis of Myasthenia Gravis. When assessing the client, the nurse anticipates a positive diagnosis if which of the following is observed after Endrophonium administration?

A nurse is completing a pain assessment on a patient with a broken foot. The patient describes their pain as “throbbing and intermittently sharp.” What type of information is the patient providing to the nurse?

A nurse is caring for a client who is 1 day postoperative following a total hip replacement.  Read the information below to answer the question.   Nurse Note Client is alert and oriented to person, place, time, and situation.  Left hip surgical site has drainage on dressing and incision that is yellowish green in color and has an odor.  Client reports pain as 5 on a scale of 0 to 10.  Incision is intact with staples.  Abductor pillow in place.  Client is repositioned every 2 hours.  Client is diaphoretic.  Lungs are clear to auscultation.  Bowel sounds are active in all 4 quadrants.  Last bowel movement was yesterday.   Vital Signs                                                                                                                                                                  Blood pressure 128/76mm Hg                                                                                                                                 Heart rate 84/bpm                                                                                                                                               Respiratory rate 20/min                                                                                                                                            Temperature 38.7*C (101.7*F) oral                                                                                                                 Oxygen saturation 94% on room air                                                                                                                               CONDITION                                 FINDING pneumonia                                   bedrest contractures                                 positioning infection                                        respiratory dislocation                                    hypertension  angina                                          drainage Write 1 blue condition in the first box and 1 orange finding in the second box to fill in the blank spaces in the following sentence.  The priority concern is [Blank-1] as evidence by  [Blank-2].         _______ _______