A patient who has just been transported from the operating room to the postanesthesia care unit (PACU) is shivering and has a temperature of 96.8°F (36°C). Which action would the nurse take?

The nurse is orienting a newly graduated RN who is providing care for a postoperative patient after a thyroidectomy. The new RN assesses the patient and notes laryngeal stridor with a pulse oximetry measure of 89%. What is the priority action for the nurse and new RN? 

The nurse is assisting in planning care for a client with a diagnosis of immunodeficiency and would incorporate which action as a priority in the plan?

A patient who has diabetes and uses insulin to control blood glucose has been NPO since midnight before having a knee replacement surgery. Which action would the pre-op nurse take?

Which action would the nurse take when caring for a patient who is receiving chemotherapy and reports forgetfulness and problems with concentration?

A 70-kg patient who has had unprotected sexual intercourse with a partner who has hepatitis B is to receive 0.06 mL/kg of hepatitis B immune globulin. The immune globulin is available in a 5-mL vial. The nurse will plan to administer ____________________ mL. 

A 68-yr-old patient admitted to the hospital with dehydration is confused and incontinent of urine. Which action would the nurse include in the plan of care?

A patient is admitted to the unit with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH). For which electrolyte abnormality would the nurse be sure to monitor?  

A patient who uses injectable illegal drugs asks the nurse how to prevent acquired immunodeficiency syndrome (AIDS). Which response by the nurse would be most useful in preventing human immunodeficiency virus (HIV) infection?

A patient who has breast cancer is receiving immunotherapy in the form of trastuzumab, a monoclonal antibody (MoAb). Which medication side effect is the patient most likely to experience?