A 47-year-old patient was admitted to the medical surgical u…

A 47-year-old patient was admitted to the medical surgical unit this morning with progressive weakness and difficulty walking that began 10 days ago. The patient reports a recent respiratory infection two weeks ago and has a history of influenza vaccination last month. On assessment, the patient demonstrates bilateral lower and upper extremity weakness, shallow respirations, and diminished breath sounds. Diagnostic results include: Cerebral Spinal Fluid (CSF) protein: 190 mg/dL (Normal: 15–45 mg/dL) Cerebral Spinal Fluid (CSF) WBC: 3 cells/mm³ (Normal: 0–5 cells/mm³) ALT: 85 U/L (Normal: 7–56 U/L) AST: 72 U/L (Normal: 10–40 U/L) Serum creatinine: 1.6 mg/dL (Normal: 0.6–1.2 mg/dL)  Which nursing action is the priority for this patient?

A nurse is working in a long-term care facility and notices…

A nurse is working in a long-term care facility and notices changes in a 76-year-old client.  The nurse suspects the client is having an acute stroke.  New data: The nurse, who noticed the sudden onset of symptoms (from the previous question) calls 911.  EMS arrives and transports the client to the emergency department (ED).  Based on the client’s symptoms of an acute stroke, which diagnostic test will be performed upon arrival to the Emergency Department?  

The nurse caring for an elderly resident in a long term care…

The nurse caring for an elderly resident in a long term care facility completes an assessment and finds the resident is not eating as well as usual and is confused. (The resident is usually alert and has a good appetite at meal time). The nurse further assesses the resident for signs and symptoms of?