A client is admitted to the emergency department (ED) with r…

A client is admitted to the emergency department (ED) with right sided facial droop, right sided paralysis, and slurred speech. The client’s daughter stated that the symptoms started 45 minutes ago. The patient has a blood glucose of 100. The client’s vital signs are temperature of 98.6 °F (37ºC), heart rate 76 beats/min, respiratory rate of 18 breaths/min, blood pressure 164/80, and SpO2 of 96% on room air. The CT of the head is negative. The nurse prepares to administer tissue plasminogen activator per provider order. What are the priority nursing interventions? (Select all that apply.)

After receiving a handoff report from the night shift, the n…

After receiving a handoff report from the night shift, the nurse completes the morning assessment of a client with severe sepsis. Vital signs are: blood pressure 95/60 mm Hg, heart rate 110 beats/min, respirations 32 breaths/min, oxygen saturation (SpO2) 96% on 45% oxygen via Venturi mask, temperature 101.5° F, central venous pressure (CVP) 2 mm Hg, and urine output of 10 mL for the past hour. The nurse initiates which provider order first?

A clinic nurse is caring for a patient admitted with  acquir…

A clinic nurse is caring for a patient admitted with  acquired immune deficiency syndrome (AIDS). The nurse has assessed that the patient is experiencing a progressive decline in cognitive, behavioral, and motor functions. The nurse recognizes that these symptoms are most likely related to the onset of what complication?