A nurse in a community clinic is assessing a 32-year-old woman who presents with vague complaints of insomnia, anxiety, and chronic headaches. During the visit, the patient becomes tearful and says, “Things at home are fine. I just need to try harder to keep the peace.” The nurse suspects intimate partner violence. Which of the following patient behaviors is most consistent with the tension-building phase of the cycle of violence?

The nurse enters a diabetic client’s room at 11:30 a.m. and notices that the client is diaphoretic, tachycardic, anxious, states she is hungry, and doesn’t remember where she is. What is the first action the nurse should take?

The nurse is assessing a patient with septic shock. Which of the following assessment findings or cues would indicate a progression of shock? Select all that apply

A patient with Type 1 diabetes is planning on exercising. What should the nurse recommend the patient do before exercising?

You are caring for a client who is experiencing a flare-up of rheumatoid arthritis. The client reports a pain level of 7/10 in both wrists along with stiffness. The wrist are red, warm, and swollen. What nonpharmacological nursing interventions can you provide to help alleviate the pain and stiffness?

The nurse is preparing to teach a newly diagnosed patient with osteoporosis about strategies to prevent falls. Which of these points will the nurse be sure to include? (Select all that apply.)

After eating dinner, the client reports being unable to sleep and reports, “I feel like something is coming up in the back of my throat and I have a bitter taste in my mouth.” What nursing intervention will you perform next?

Administer Geopen 750 mg IM. On hand is Geopen 1 gm/2.3 ml reconstituted. How many ml will you administer?  If rounding is required, round to the 10th place.  Enter a numeric value only. 

You’re caring for a client who has a health history of severe osteoporosis. During your assessment, you note that the client has kyphosis of the upper back. Which nursing diagnosis is priority for this patient’s care?

The nurse is completing a head-to-toe assessment on a client with an open fracture of the left tibia & soft tissue damage. The client underwent a reduction and fixation of the tibia with debridement of the nonviable tissue with drain placement. The nurse will be most concerned with: