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A 26 week prenatal patient complains of a persistent headache and blurred vision for the last few days. The priority nursing intervention is: 

The nurse is caring for a full-term breastfeeding baby who weighs 9 pounds 12 oz (4300 grams). The Temp is 98.6, HR is 142, RR is 60. The baby is jittery, sweating, and lethargic. Which of the following is a priority nursing intervention? 

You are observing for fetal heart rate (FHR) accelerations in a nonstress test (NST) for a woman who is 26 weeks pregnant.  The average FHR baseline is 145 beats per minute (bpm).  Within 20 minutes, the FHR accelerated to 160 bpm six times, for 15 seconds.  How should you interpret this information?

A medication order reads, “Potassium 20 mEq 1-tab po BID”. What does the nurse need to do FIRST when administering this medication?  

The med surg nurse is completing an admission assessment on a post- op client. The nurse assesses the lung sounds and hears high- pitched continuous sounds. What does this assessment finding indicate?

A pregnant client comes into the clinic for her monthly exam. Her urine test is positive for glucose. A glucose tolerance test is ordered and is positive for gestational diabetes. The client is confused by the diagnosis, stating she is conscientious about her health, and asks the nurse to explain gestational diabetes. The nurse should explain that gestational diabetes is the result of what ideologic factor?  

The nurse is caring for a client with a diagnosis of Addison’s disease. What assessment findings are associated with this health problem?  

An adolescent is brought to the emergency department by a family member due to increase confusion, abdominal pain with 2 episodes of vomiting, fatigue, extreme thirst, increase urination and is breathing “strange.”  The nurse anticipates this client may have ­ __________________and needs to be treatment for ________________?  Use the following word bank to choose the correct answer to complete the question above. Separate your answers with a comma.  Hypoglycemia Hyperthyroidism Diabetes Type 1 Diabetic Ketone Acidosis   Hypothyroidism Diabetes type 2 Hyperosmolar Hyperglycemia   Toxic Storm  

The nursing instructor is discussing postoperative care with a group of nursing students. A student asks, “Why does the client go to the PACU instead of just going to a post-surgical unit?” What is the instructor’s best response?  

A client comes to the ED with a shoulder injury. X-ray reveals dislocated shoulder. The orthopod is going to reset the shoulder. The client will be placed under moderate sedation during the procedure. What is the BEST explanation the nurse can give to the family about moderate sedation?