2.  An adolescent client presented to an outpatient clinic for a follow-up appointment for medication management and reported sexual abuse by his older brother the night before. The nurse will do what first? 

A patient’s ECG shows complete dissociation of P waves and QRS complexes. What is the nurse’s priority action?

5.  The RN is caring for a client who reports headache, nausea, and difficulty sleeping.  The client states, “my dog died a few weeks ago and I miss her so much”.  Which of the following statements made by the nurse demonstrates a grief-informed approach?

A family asks about palliative vs. hospice care. Which response by the nurse is accurate?

19.  A client presented to the clinic for a follow-up appointment for eating disorder treatment and complained of feeling depressed most of the time. The physician prescribed Prozac 20mg po Q am for depression and mood. What is some information that the nurse should to inform the client about pertaining to this medication?

A patient suddenly develops dyspnea, chest pain worsened by deep breathing, and hemoptysis. What is the priority nursing action?

37.  A feeling of severe restlessness with Parkinson’s-like symptoms with muscles contracting involuntary by some psychotropic medications, which is often misinterpreted by patients as anxiety or recurrence of psychiatric symptoms is known as: 

A postpartum patient receiving magnesium sulfate exhibits signs of toxicity. What is the nurse’s immediate action?

A patient with a potassium level of 6.5 mEq/L is ordered IV insulin. What is the rationale?

When caring for a patient with a central line, which statements are correct regarding dressing changes? (Select all that apply)