The client with cervical cancer is beginning radiation therapy. When planning care, the nurse should prioritize what goal? 

A nurse is caring for an older adult client who was alert and oriented at admission but now seems increasingly restless and intermittently confused. Which of the following actions should the nurse take first to address the client’s safety needs?

The client, who is awake and alert, is being admitted with electrolyte disturbances. The nurse assesses the client’s ECG rhythm and finds tall peaked T waves, with a heart rate of 40 and a widening QRS. What orders does the nurse anticipate the provider to include? 

A client arrives in the emergency department after being burned in a house fire. The client’s burns cover the left half of the anterior abdomen and the left half of the anterior chest and the front & back of the left leg and front of the right leg. What extent of burns does the client most likely have, measured as a percentage?

The client with heart failure has been prescribed furosemide (Lasix) . What nursing action will best reduce the client’s risk of electrolyte disturbances? 

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?  Select all that apply

The nurse is caring for a client with a diagnosis of AIDS and Pneumocystis pneumonia (PCP). The patient is 72” tall and weighs 62 kg. He complains of dry mouth and poor appetite. HR is 110, RR 32, BP 100/56, T 37.5. He has a productive cough, and a SaO2 of 90%. What is the nursing diagnosis with the highest priority for this client?      

The client, who has a pain level of 6 out of 10,  has been ordered acetaminophen (Tylenol) liquid 650 mg per nasogastric tube (NGT) for pain of 1-3 on a 1-10 pain scale. She can have hydrocodone liquid 5mg per NGT for pain 4-6, and hydrocodone liquid 10mg per NGT for pain 7-10. The pharmacy has sent acetaminophen (Tylenol) 180 mg/3mL and hydrocodone (Lortabs) 20mg/10mL to the floor. What will the nurse administer?

The nurse in ED receives the ABG/Lab results for the newly admitted client: pH 7.28, PaCO2 37, HCO3 22 mEq/L. Hgb 15, Hct 35%, Na 146, K 4.2, Glu 482. What orders does the nurse anticipate for this client?