The nurse is caring for a post operative patient who is complaining of severe 8/10 pain, mild nausea, and inability to void for 3 hours.  Which intervention is the priority?

While in the Post anesthesia care unit (PACU), the patient’s blood pressure drops from an admission pressure of 140/92 to 110/78 with a pulse change of 72 to 92. The patients respirations increase from 12/minute to 18/minute. Which interventions would have immediate priority? Select all that apply.

Which of the following is a sign that a newborn might be experiencing respiratory distress?

Which intervention is most appropriate for a postpartum client experiencing uterine cramping?

A patient is admitted with a cerebral vascular accident who also has diabetes type II and hypertension.  The patients pulse is 118 beats per minute and irregular, and the fingerstick blood glucose is 222.  Which medication should the nurse administer first?

What is one of the first physical assessments performed on a newborn?

Name this cell type: Picture18.png

Which surgical patient has the greatest risk for post-operative gastrointestinal complications?

The patient is noted to have this fetal heart rate (FHR) pattern in labor. What is the nurse’s first action?

You are caring for a new admission who is scheduled for an open cholecystectomy later today. She has orders for laboratory work to be drawn, insertion of an intravenous saline lock,  post operative teaching for early ambulation and pain management. Which intervention should you complete first?