The nurse is supervising care in the emergency department. Which situation most requires an intervention?

The nurse explains to a mother of an infant with a cephalohematoma that:

An emergency department nurse is triaging victims of a multi-casualty event. Which client would receive care first?

A woman is going to have labor induced with oxytocin. How would you administer the oxytocin?

The nurse determines that fluid replacement for a patient with major burns is adequate based on the finding of:

A nurse is caring for a newborn of a diabetic mother.  The baby’s blood glucose level is below 40 mg/dL. Which of the following should be included in the nurse’s plan of care for this newborn?

The nurse has assessed four newborns respiratory rates immediately following birth. Which of the following respiratory rates would require further assessment by the nurse?

A doctor is “watchful waiting” a patient’s BPH (benign prostatic hyperplasia). Which lab result is concerning and should be reported to the physician? 

Which nursing action is most appropriate for a client in hypovolemic shock who also sustained a closed head injury during a motor vehicle accident and has been cleared of a spinal injury?

A patient hospitalized with possible acute pancreatitis has severe abdominal pain. The nurse would expect the diagnosis to be confirmed with laboratory testing that would show an elevated