An unresponsive client with extensive electrical burn injuries is brought to the emergency department. Which action should the nurse implement first?
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The nurse is caring for a client with left-sided weakness th…
The nurse is caring for a client with left-sided weakness that started 60 minutes earlier. What diagnostic test will the nurse prepare the client for first?
A client is 4 hours postoperative after transluminal angiopl…
A client is 4 hours postoperative after transluminal angioplasty using the right femoral artery. The client reports leg pain on the affected side, rated as 5/10. What action by the nurse takes priority?
The nurse is planning care for a hospitalized client who is…
The nurse is planning care for a hospitalized client who is experiencing an acute episode of trigeminal neuralgia. Which action is appropriate for the nurse to include in the plan of care?
The nurse is caring for a client admitted with left sided h…
The nurse is caring for a client admitted with left sided heart failure. Which new finding is the greatest concern?
The nurse is collecting health history data on a client with…
The nurse is collecting health history data on a client with a suspected spinal cord tumor at the thoracic level. The nurse is aware that the most common early symptom of a spinal cord tumor is what?
The nurse positioned a client with acute respiratory distres…
The nurse positioned a client with acute respiratory distress syndrome (ARDS) into a prone position 2 hours ago. Which information obtained by the nurse indicates that the positioning is effective?
A client with Bell’s Palsy refuses to eat while others are p…
A client with Bell’s Palsy refuses to eat while others are present because of embarrassment about drooling. Which response by the nurse is best?
A client arrives in the emergency department with hemiparesi…
A client arrives in the emergency department with hemiparesis and expressive aphasia that started 2 hours previously, and health records show a history of several transient ischemic attacks (TIAs). Which action will the nurse take? The nurse anticipates preparing the client for
The nurse is performing a physical assessment on a client an…
The nurse is performing a physical assessment on a client and observes small, purplish, red-point lesions covering the client’s skin. The nurse knows this assessment finding is an indication of which of the following?