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A. Which priority nursing action needs to be implemented when a long-term care resident taking an anticholinergic agent is observed to be disoriented and hallucinating?

An older adult patient is to receive atenolol, a beta-adrenergic blocking agent. Prior to administration of the drug, the nurse assesses an apical pulse rate of 58 and notes ankle edema. Which action will the nurse take first?

A nurse caring for several clients with various disorders anticipates administering NSAIDs to which ones for reports of pain? Select all that apply.

Which type of pain scale assessment tool is the most accurate to use when completing an assessment on a nonverbal adult patient?

A nurse is caring for a client on digoxin (Lanoxin). The nurse asks the client and reviews the chart for symptoms that would indicate digoxin (Lanoxin) toxicity. The client reports the following symptoms, the nurse notes symptoms associated with toxicity. Which finding below would the nurse exclude from the note?

The nurse is preparing an in service for new graduate registered nurses and is reviewing medications given during Advanced Cardiac Life Support (ACLS). After reviewing the medications, a new graduate nurse asks why clients are given amiodarone (Cordarone) during ventricular fibrillation. The nurse understands the best explanation to the question is which of the following?  

When reviewing a patient’s history and physical information, the nurse notes that the patient has physician’s orders for chloral hydrate and warfarin. During assessment of this patient, the nurse observes areas of petechiae and ecchymosis on the upper and lower extremities. Which lab work is most appropriate for the nurse to assess next?

A nurse is evaluating the effectiveness of teaching for a client discharged on warfarin (Coumadin). Which of the following statements indicates the need for further teaching?  

Immediately following a delivery, what is highest priority for the nurse to assess on the mother?

An infant at 39 weeks’ gestation was just delivered; included in the protocol for a term infant is an initial blood glucose assessment. The nurse obtains the blood sample and the reading is 58 mg/dL. What is the priority nursing action based upon this reading?