The nurse is caring for a client who is one day postpartum. The client had a vaginal delivery and has a third degree episiotomy. Which of the following orders should the nurse question and clarify prior to completing?

A nurse reviews the laboratory results of a client who developed hemolytic anemia after a blood transfusion. This condition represents which type of hypersensitivity reaction?

A nurse is caring for a client in labor. Which of the following nursing interventions is appropriate for the second stage of labor?

A 32-week gestation client reports a sudden gush of fluid from the vagina. The nurse suspects preterm premature rupture of membranes (PPROM). Which of the following actions should the nurse take first?

Identify this cardiac rate and rhythm. _______________________________

A client on a heparin infusion for deep vein thrombosis develops heparin-induced thrombocytopenia (HIT) with a platelet count of 80,000/µL. What is the nurse’s first action?

The client has dobutamine infusing at 30 mL/hr. The medication concentration is 500 mg in 250 mL. The client weighs 65 kg. How many mcg/kg/min is the client receiving? ___________________ (Round to the nearest tenth.)

A 30-week gestation preterm infant is admitted to the NICU with grunting, nasal flaring, and intercostal retractions. The infant is placed on CPAP, and the healthcare provider prescribes exogenous surfactant via endotracheal tube. Which nursing action is most important immediately before surfactant administration?

A nurse is assessing a 7-month-old infant who was born at 30 weeks’ gestation. When the nurse asks the parent about developmental progress, which parent statement indicates a correct understanding of adjusted age for preterm newborns?

A client arrives to the emergency department after a suspected black widow spider bite. Which symptoms are most characteristic of this type of bite?