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15. A nurse is caring for a client who requires crisis intervention for acute anxiety. Which of the following is the highest priority?

43. A client has returned from having a transurethral resection of the prostate.  The client is complaining of bladder discomfort and a feeling of urgency to void.  Which nursing action should be taken first?

49. A nurse is assisting with the care of a client who 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?

27. A nurse is assisting with the food tray for a client who is partially blind following a left-sided stroke. Which of the following nursing interventions promotes client independence?

17. A nurse is caring for a client on the psychiatric unit involuntarily admitted after attacking a neighbor. To keep the client in the hospital when the 72-hour hold is over, which of the following must be determined?

30. A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?

29. A nurse is reinforcing teaching for a client who is to have a myelogram. Which of the following statements indicates the client understands the teaching?

31. A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching?

21. A school nurse is screening an 11-year-old child for idiopathic scoliosis. Which of the following instructions should the nurse give the child for this examination?

24. The nurse is caring for a child who has a cast on the left forearm due to a recent bone break.  During the routine medication pass the child is noted to be crying inconsolably and points to the face picture pain guide of a crying face.   Which of the following interventions is priority?