A nurse caring for a client observes the following assessments: white blood cell count 2,900/mm³ (2.9 × 10?/L), blood glucose level 220 mg/dL (12.2 mmol/L), and temperature 95.8°F (35.4°C). What priority action should the nurse take?

A 45-year-old patient with partial-thickness burns covering both arms and the chest is now stable and receiving care in the burn unit. To prevent contractures, which nursing action is most important for the nurse to include in the patient’s plan of care?

A 72-year-old male client with a history of hypertension and coronary artery disease is admitted with a sudden decline in level of consciousness. What is the nurse’s priority action at this time?

A 45-year-old male patient arrives at the emergency room after suffering third-degree burns to 40% of his total body surface area (TBSA) in a fire. He weighs 80 kg. The healthcare provider decides to use the Parkland formula to calculate the fluid resuscitation needs for the first 24 hours. The total fluid requirement for the first 24 hours is calculated to be 12,800 mL. Half of this amount (6,400 mL) will be given during the first 8 hours.How should the nurse set the IV pump to administer the remaining fluid over the next 16 hours?

A 45-year-old male patient arrives at the emergency room after suffering third-degree burns to 40% of his total body surface area (TBSA) in a fire. He weighs 80 kg. The healthcare provider decides to use the Parkland formula to calculate the fluid resuscitation needs for the first 24 hours. According to the Parkland formula (4 mL x kg x % TBSA), how much fluid should be administered to this patient in the first 8 hours?

A home health nurse is teaching an 82-year-old patient in Montana about preventing hypothermia during cold weather. Which instructions should the nurse include? (Select all that apply.)

While assessing a 60-year-old male client, a nurse observes a bluish tinge to his palms, soles, and mucous membranes, along with shortness of breath. What action should the nurse take next?

A 19-year-old female client is admitted to the emergency department after being struck by lightning. She is awake but slightly confused. What assessment should the nurse complete first?

While at a public park, a community health nurse encounters a person immediately after a wasp sting. The person’s lips are swollen, and wheezes are audible. What action would the nurse take first?

A 45-year-old client hospitalized with burns after losing their family home in a fire becomes angry and yells at a nurse when dinner is served late. How should the nurse respond?