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The nurse is preparing to administer an acetylcholinesterase inhibitor test to a client to rule out myasthenia gravis. Which priority action should the nurse include in the plan of care?

A nurse is caring for a client with pre-renal acute kidney injury (AKI) following major abdominal surgery. The nurse notes the following assessment findings: The client’s urine output over the past 2 hours is 50 mL, blood pressure is 90/58 mmHg, and heart rate is 114 beats per minute with sinus tachycardia. Which provider order should the nurse initiate first?

The nurse is assessing a client with myasthenia gravis. Which symptom is more suggestive of a cholinergic crisis rather than a myasthenic crisis?

A nurse is caring for a client who has sustained a spinal cord injury at the C5 level. Which of the following assessments should the nurse prioritize?

A nurse is assessing a client with end-stage kidney disease (ESKD) who missed their last two hemodialysis sessions. The client has gained 5 kg (11 lb.) in the past week and present with severe dyspnea, crackles in all lung fields, and 3+pitting edema. The morning laboratory results are as followings: potassium: 6.8 mEq/dL, BUN: 90 mg/dL, creatinine: 19.2 mg/dL, pH: 7.20, HCO3 (bicarbonate): 15 mEq/L. Which prescription should the nurse implement first?

A nurse is caring for a client with Guillain-Barré Syndrome (GBS) in the acute care unit. The client has weakness in the lower extremities but is alert and oriented. The nurse is implementing interventions to maximize respiratory function and prevent complications related to immobility. Which nursing intervention should be prioritized?

A client with DKA is receiving IV normal saline and an insulin drip. The nurse notes that the client’s serum potassium is now 2.8 mEq/L, and the client reports muscle weakness and palpitations. Which action should the nurse take first?

A nurse is caring for a client who is in the recovery phase of acute kidney failure. Which assessment finding would the nurse expect to observe during this phase?

A client with an acute ischemic stroke is admitted to the emergency department. The nurse reviews the following data: Blood pressure: 210/115 mm Hg, Heart rate: 92 bpm, SpO₂: 96% on room air, The client is not a candidate for fibrinolytic therapy.  Which action should the nurse anticipate taking?

A client arrives at the emergency department via EMS after falling from a horse and is unresponsive. The nurse notes that a cervical collar is in place. Which action should the nurse perform first?