48.  An adolescent was at the medication window waiting to receive their medications. Upon taking their medications, the nurse noticed that the client did not swallow their medications. Which of the following actions should the nurse take with regards to safety?

A patient with DKA has the following ABG: pH 7.29, HCO? 14, PaCO? 28. What is the interpretation?

O2 saturation drops from 94% to 85% during handoff. What is the nurse’s first action?

A family asks about palliative vs. hospice care. Which response by the nurse is accurate?

A client with a history of alcohol use disorder is 10 hours post-admission. Which symptom is most concerning for withdrawal?

Match the seizure type with its characteristic: (Select all that apply)

A nurse assesses a patient with a colostomy and suspects a strangulated stoma. Which finding supports this suspicion?

A patient with a potassium level of 6.5 mEq/L is ordered IV insulin. What is the rationale?

Which of the following actions by the nurse constitutes a break in surgical asepsis?

32.  A client is on an acute unit displaying inappropriate behaviors such as manipulation, impulsiveness and self-harming, AEB scratching her right forearm with her fingernail repeatedly. The nurse knows that the client is diagnosed with what disorder?