22. Forty-eight hours after a patient sustained a fractured femur in a car accident, the nurse assessed a pulse of 110, respirations at 28, and labored crackles in both lung fields. Which of the following actions by the nurse is priority?

17. A nurse is caring for a client on the psychiatric unit involuntarily admitted after attacking a neighbor. To keep the client in the hospital when the 72-hour hold is over, which of the following must be determined?

31. A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching?

18. A nurse is assisting in planning the care for client who has paranoid schizophrenia. Which of the following interventions is appropriate to recommend including in the plan of care?

4. The nurse is completing a history and physical on a patient who takes acetaminophen (Tylenol) daily basis for relief of generalized discomfort.  Which of the following indicates toxicity associated with the mediation?

10. A provider orders cefazolin 1 g IV in 100 mL of NS to infuse over 30 minutes via IV piggyback. At what rate in mL/hour should you set the infusion pump?  

11. A nurse is assisting in the planning of care for a client following a suicide attempt. Which of the following interventions is appropriate when implementing suicide precautions?

2. When making hourly rounds, the nurse notes the client’s intravenous solution has infused at a rapid rate over the past hour.  What will the nurse observe the client for?

What is Swahili culture, and how did it connect East Africa to other parts of the world? 

One of the most important results of the Crusades was that