43. The nurse finds a client unresponsive, with no pulse and no respirations. What is the first action the nurse should take?

47. A 35-year-old male patient is admitted to the emergency department after sustaining severe burns from a house fire. The burn specialist uses the “Rules of Nine” to estimate the percentage of body surface area (BSA) burned. According to the Rule of Nines, which of the following percentages of BSA would be the most appropriate for the assessment of burns on the patient’s anterior torso, posterior left arm, and anterior right arm?

18. A nurse is developing a health education plan for a client who struggles to follow treatment due to financial concerns. Which nursing intervention is most appropriate? 

41. A client is receiving a high-dose dopamine infusion for shock. The nurse notices redness and swelling at the IV site. What is the priority action? 

35. The nurse is preparing to discharge a client who had abdominal surgery. Which of the following statements by the client indicates a need for further teaching?

28. A client arrives at the clinic after prolonged sun exposure and reports dizziness, excessive sweating, and a rapid heart rate. The nurse suspects heat exhaustion. Which action should the nurse take first? 

43. The nurse finds a client unresponsive, with no pulse and no respirations. What is the first action the nurse should take?

5.  A nurse is caring for a client admitted to the emergency department (ED) following an injury. The nurse demonstrates concern and involves the client’s family in the decision making. Which of the following outcomes is the nurse’s primary goal from this interaction?

18. A nurse is developing a health education plan for a client who struggles to follow treatment due to financial concerns. Which nursing intervention is most appropriate? 

9. A client presents to the emergency department with a body temperature of 41°C (105.8°F), dry skin, and confusion. What is the nurse’s priority action?