The nurse is developing a plan of care for a client with a spinal cord injury focused on Thermoregulation, Ineffective.  The nurse includes which interventions into the plan of care? Select all that apply?  

 A mentally disadvantaged adult patient is learning self-care. What should the nurse do to help the patient increase learning? Select all that apply.            

Which developmental task according to Erikson should the nurse assist older adult patients to achieve?

  A nurse observes that the client on the cardiac monitor has developed a new onset of atrial fibrillation.  Which of these actions should the nurse take first?

Which of the following factors increase oxygen demand in the client with multi-organ dysfunction syndrome (MODS)? Select all that apply.  

A client who has been hospitalized with sepsis and has been on bed rest for 7 days develops a heart rate of 150, respiration 46, B/P 100/60, and becomes restless and anxious.  What is the appropriate nursing action?

The multi-organ dysfunction syndrome (MODS), client complains of pain in the distal digits and in the abdomen.  You notice she has multiple petechiae on her skin and that her urine is positive for occult blood.  Select the possible phenomena that might be occurring from the list below:

A client is receiving fluid replacement after 35% of his body was burned 24 hours ago. Nursing assessment reveals a blood pressure of 86/60, pulse of 120, and urine output of 25 cc for the past hour. The nurse reports these findings to the primary care provider, anticipating orders to:

An emergency room nurse is assessing a 60-year-old female client who looks disheveled and angry.  As the nurse starts to get her vitals the woman accuses the nurse of “hurrying” and “not attending to her needs”.  What should the nurse do next?

A client is admitted to the hospital with a diagnosis of acute glomerulonephritis. Which clinical manifestation would the nurse expect to find?