A nurse is caring for a patient with an ischemic stroke in the right middle cerebral artery (MCA) territory. Which interventions should be prioritized? (Select all that apply.)

A patient in the ICU with status epilepticus remains unresponsive despite receiving lorazepam and a loading dose of fosphenytoin. The patient has ongoing seizure activity and a declining oxygen saturation. What is the nurse’s next action?

A child with ADHD is prescribed methylphenidate. What is the expected therapeutic outcome of stimulant therapy?

A patient arrives at the ED with sudden-onset left-sided hemiplegia, facial droop, and slurred speech that began 45 minutes ago. The non-contrast CT scan is negative for hemorrhage. What is the nurse’s next priority?

A nurse is performing an otoscopic examination on an adult patient. What techniques should be used to ensure safety and accuracy? (Select all that apply.)

A hospital has implemented a no-lift policy. What is the primary benefit of this policy?

A nurse is caring for a patient at risk for urinary retention. Which interventions can help prevent this complication? (Select all that apply.)

A nurse is caring for a patient from a culture that emphasizes stoicism. How should the nurse assess this patient’s pain?

A nurse is educating a patient about the physiological process of urine formation. Which statement is correct?

A nurse is evaluating a patient’s progress after assisted ambulation. Which findings indicate successful outcomes? (Select all that apply.)