A nurse is caring for a client who received spinal anesthesia during surgery. Which of the following findings indicates a complication requiring further evaluation? 

A nurse is reviewing the laboratory results of a client with fulminant hepatitis. The results show an elevated international normalized ratio (INR) of 6.2 and decreased platelet count of 80,000/mm³. The client is lethargic with Right Upper Quadrant pain and has new-onset petechiae. Which intervention should the nurse anticipate? 

The circulating nurse, working in the operating room, understands that their role includes  

A  hospitalized client diagnosed with Lewy Body Dementia states to the nurse, “I’m so afraid. Where am I? Where is my family?” Which is the most therapeutic response by the nurse?

Which client should the postpartum nurse assess first after receiving shift report?

The nurse is caring for a client 1-day postpartum after a vaginal delivery. The client received fentanyl in the epidural catheter, which was discontinued at the end of the immediate recovery period (stage 4). She has developed severe itching. What drug does the nurse give a dose of?

A nurse manager is leading a quality improvement initiative on a dementia care unit where clients have experienced weight loss and increased agitation during mealtimes. Which combination of environmental and nutritional interventions would most effectively address these concerns? Select all that apply.

The nurse is caring for a neonate in the NICU who was born one hour ago. The mother was diagnosed with chorioamnionitis at the time of delivery. The newborn has poor tone, a weak cry, tachypnea, grunting, and retractions. After stabilizing the newborn with intravenous fluids and continuous positive airway pressure (CPAP), the nurse assists with a complete diagnostic evaluation, which includes (select all that apply)

 A client on the adult psychiatric unit repeatedly spreads false rumors about other clients, disrupting the therapeutic environment. Which initial nursing action is most appropriate?

A nurse is caring for a client with cirrhosis who is experiencing hepatic encephalopathy. Which interventions should the nurse anticipate to help manage this condition? (Select all that apply.)