A 47-year-old patient was admitted to the medical surgical unit this morning with progressive weakness and difficulty walking that began 10 days ago. The patient reports a recent respiratory infection two weeks ago and has a history of influenza vaccination last month. On assessment, the patient demonstrates bilateral lower and upper extremity weakness, shallow respirations, and diminished breath sounds. Diagnostic results include: Cerebral Spinal Fluid (CSF) protein: 190 mg/dL (Normal: 15–45 mg/dL) Cerebral Spinal Fluid (CSF) WBC: 3 cells/mm³ (Normal: 0–5 cells/mm³) ALT: 85 U/L (Normal: 7–56 U/L) AST: 72 U/L (Normal: 10–40 U/L) Serum creatinine: 1.6 mg/dL (Normal: 0.6–1.2 mg/dL)  Which nursing action is the priority for this patient?

The nurse is talking with a client at a flu clinic. The client states they are concerned about their partner because they have started accusing their children of stealing money from others and they seem to be lost when driving in areas that were once familiar to them. What is the best response by the nurse?

A client with benign prostatic hyperplasia undergoes transurethral resection of the prostate. Postoperatively, an indwelling foley catheter and continuous bladder irrigation are in place. On Post Op Day 1 the nurse would expect which assessment finding?

The nurse recognizes that the top risk factors for developing Alzheimer’s disease are. Select all the apply: 

A community health nurse is teaching a group of male clients on nutritional measures to decrease the risk of developing prostate cancer.  Which response by the client indicates the education was understood. 

The nurse is talking with a client at a flu clinic. The client states they are concerned about their partner because they have started accusing their children of stealing money from others and they seem to be lost when driving in areas that were once familiar to them. What is the best response by the nurse?

The nurse recognizes that the top risk factors for developing Alzheimer’s disease are. Select all the apply: 

The home care nurse is visiting a client with chronic renal failure on peritoneal dialysis at home. Which nursing diagnosis will have the highest priority?

The home care nurse is visiting a client with chronic renal failure on peritoneal dialysis at home. Which nursing diagnosis will have the highest priority?

A client is admitted to the hospital following a tonic-clonic seizure. The client asks the nurse what causes seizures. What is the best response by the nurse?