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?

33. A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?

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?

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

22. Forty-eight hours after a patient sustained a fractured femur in a car accident, the nurse assessed a pulse of 110, respirations at 28, and labored crackles in both lung fields. Which of the following actions by the nurse is priority?

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?

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?

18. A nurse is assisting in planning the care for client who has paranoid schizophrenia. Which of the following interventions is appropriate to recommend including in the plan of care?

10. A provider orders cefazolin 1 g IV in 100 mL of NS to infuse over 30 minutes via IV piggyback. At what rate in mL/hour should you set the infusion pump?  

4. The nurse is completing a history and physical on a patient who takes acetaminophen (Tylenol) daily basis for relief of generalized discomfort.  Which of the following indicates toxicity associated with the mediation?