A patient has been receiving total parenteral nutrition. Upon assessment, the nurse notes these assessment findings: blood pressure 150/92 mm Hg (elevated from previous readings); pulse rate 110 beats/min and weak; pitting edema on both ankles; and new-onset confusion. The nurse suspects that the patient is experiencing which condition?

A client with Alzheimer’s disease is prescribed rivastigmine (Exelon) to manage symptoms. The nurse is conducting a home safety assessment during a follow-up visit. Which findings indicate that the nurse should intervene to ensure the client’s safety while on rivastigmine? Select all that apply.

A patient who has recently begun antiretroviral therapy with a combination drug develops immune reconstitution inflammatory syndrome (IRIS) with mild symptoms. What does the nurse expect that the provider will recommend next?

A nurse is developing an individualized teaching plan for a patient who has been prescribed a liquid antacid for gastrointestinal upset. Which teaching points should the nurse include to ensure safe and effective medication administration? Select all that apply.

You are performing a spiritual assessment for a client who has expressed feelings of hopelessness and isolation. Consider the principles of spiritual care and the nursing process.  Which nursing assessment question is most appropriate to explore the client’s spiritual needs?

The nurse is teaching a patient about rifampin. Which patient statement demonstrates an understanding of how to manage potential body image changes associated with this medication?

A client with cancer will be starting chemotherapy and is concerned about the side effects. The nurse states, “The medication may make you feel sick; however, your provider has ordered medication to help with the side effects.” What ethical principle is the nurse practicing?

A patient who is unconscious and has a pulse is brought to the emergency department. The patient is wearing a Medic-Alert bracelet indicating type 1 diabetes mellitus. The healthcare team is discussing potential interventions. Based on the patient’s condition, which action should the nurse prioritize to effectively manage care?

A patient who takes propantheline bromine and omeprazole for an ulcer will begin taking an antacid. The nurse will give which instruction to the patient regarding how to take the antacid?

A female patient with a peptic ulcer asks the nurse if misoprostol would be a good option for her because it works well for her mother. Upon reviewing the patient’s medication list, the nurse notes that she takes a prenatal vitamin daily. What is the nurse’s priority action?