An elderly client is admitted after sustaining a closed head injury in an accident. The client is alert and oriented but very lethargic, and there is clear fluid draining from the nose. Develop a plan of care to prioritize the client’s safety and minimize the risk of complications. Select the nursing actions to include in the plan of care: Select all that apply.

The nurse is reviewing a rhythm strip for a patient who recently experienced a mild stroke. The strip shows no visible P waves, an irregularly irregular rhythm, and a QRS duration of 0.12 seconds. How should the nurse explain this rhythm to the patient?

A client with a diagnosis of acute coronary syndrome is on a cardiac monitor. The nurse interprets the monitor rhythm to be supraventricular tachycardia at a rate of 150 beats/min. The client is awake and coherent, and oxygen is being administered at a rate of 6 L/min via a nasal cannula. What is the first nursing action?

A patient with cirrhosis has 4+ pitting edema of the feet and legs. The data indicate that it is most important for the nurse to monitor the patient’s

A nurse is developing a care plan for a patient with a lower motor neuron lesion. Which finding would the nurse expect when assessing the patient’s legs?

A nurse is explaining neurogenic shock to a newly hired nurse. Which statement by the newly hired nurse indicates understanding of the condition?

The nurse will ask a 64-year-old patient being admitted with acute pancreatitis specifically about a history of

A patient with diabetes insipidus is prescribed desmopressin (DDAVP). Which statement by the nurse best explains the purpose of this medication?

Scenario:A 60-year-old patient with a history of Addison’s disease arrives at the emergency department with severe weakness, nausea, and confusion. The patient’s spouse reports that the patient stopped taking their corticosteroid medication 3 days ago. The nurse assesses the following clinical data: Assessment Findings: Vital Signs: BP: 82/46 mmHg HR: 124 bpm RR: 24 breaths/min SpO₂: 96% on room air Physical Exam: Dry mucous membranes Generalized muscle weakness Cool, clammy skin Laboratory Results: Serum sodium: 126 mEq/L (low) Serum potassium: 6.1 mEq/L (high) Blood glucose: 52 mg/dL (low) Question Type: Select All That Apply (SATA)Question:Based on the patient’s condition, which nursing actions should the nurse prioritize to manage the Addisonian crisis?

Which assessment finding is of most concern for a 46-year-old woman with acute pancreatitis?