A nurse is caring for a client who has late-stage Alzheimer’…

A nurse is caring for a client who has late-stage Alzheimer’s disease and is hospitalized for treatment of pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take?

The nurse is assessing a client admitted to the medical-surg…

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 fo…

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 celluli…

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)