The nurse is assessing a client admitted to the medical-surgical unit on the night shift. The nurse observes that the client has an enlarged, protruding abdomen and distended veins on the abdominal wall.  Upon physical examination, the nurse detects a shock wave of fluid during palpation and dullness to percussion.  The nurse notes the client is confused and exhibits asterixis. The nurse would anticipate the provider to order what intervention? 

A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse’s initial action?

A client has been admitted to ICU with sepsis due to cellulitis of the leg. The provider ordered Ampicillin 600mg/75mL to run over 45 minutes. No pump can be found to infuse this and the tubing has a drop factor of 10 gtts/mL. How many gtts/min will the nurse infuse the medication at? (round to the nearest whole number) 

A nurse is caring for a client who has an epidural hematoma. Which of the following manifestations should the nurse expect?

The nurse is reviewing the health care records of a client, The team suspects a malignant breast tumor. On palpation, the mass most likely had what characteristic?

A nurse is caring for a client who has had a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?

A nurse is planning the care of a client who will be immunosuppressed as part of a bone marrow transplant protocol.  What is the most important component of infection control in the care of this client? 

The nurse identifies that the client may be in the compensatory stage of shock.  What nursing assessment monitors for reduced tissue perfusion? 

A couple has come to a fertility clinic because they are unable to become pregnant due to a diagnosis of ovarian failure. The nurse would anticipate the provider to suggest what procedure, that will satisfy their religious belief that conception must occur within the body? 

A public health nurse has formed an interdisciplinary team that is developing an educational program entitled Cancer: The Risks and What You Can Do About Them. Participants will receive information regarding many different types of cancers. This program is an example of what type of health promotion activity?