During a 36-week prenatal visit, a client reports to the nurse that she is experiencing painful, irregular contractions. What should the nurse recommend as the next step?

A client with hypertension is prescribed losartan (Cozaar) by the health care provider. What is the most important nursing action when initiating this medication?

During a postpartum assessment, the nurse notes that a client’s rubella titer is negative. What action should the nurse plan to implement?

A 6-month-old infant with hydrocephalus has just undergone surgical insertion of a ventriculoperitoneal (VP) shunt. What nursing care is essential during the first 24 hours postoperatively?

An 82-year-old client is admitted to the hospital with weight loss and dehydration due to nutritional deficits. What should the nurse prioritize when planning care for this client?

A client is receiving vancomycin via IV piggyback (IVPB). The health care provider orders peak and trough levels to monitor therapeutic effectiveness. When should the nurse obtain a blood sample to determine the peak level?

A client with arthritis is prescribed a steroid medication. During a teaching session, the nurse explains the importance of taking the medication at mealtimes. Which client statement indicates that the teaching was effective?

A primigravida woman at 38 weeks’ gestation arrives at the labor unit reporting regular contractions. What is the priority nursing intervention upon her admission?

A client in active labor has an external fetal monitor placed on her abdomen. The nurse notes that the fetal heart rate decelerates at the peak of each contraction. What is the nurse’s next action?

A client with bulimia nervosa is admitted for treatment. During assessment, the nurse seeks to understand the client’s relationship with food. The nurse recognizes that individuals with bulimia use food primarily to:

A client is admitted with chronic adrenal insufficiency (Addison’s disease). When assigning a hospital room, which type of roommate should the nurse avoid to protect the newly admitted client?

An adolescent steps on a rusty nail while hiking and is brought to the emergency department. The adolescent is unsure of their last tetanus vaccination. The health care provider prescribes tetanus immune globulin, which the nurse administers. What explanation should the nurse provide regarding the purpose of this injection?

A client with Addison’s disease is being taught about self-care and nutrition. What dietary instructions should the nurse provide to support the client’s condition?

A client has been receiving long-term cortisone therapy for a chronic condition. During assessment, what response or finding should the nurse be particularly alert for as a potential side effect?

During a well-baby check, a nurse observes that an infant has good head control and can roll over, but cannot sit up without support or transfer objects from one hand to the other. Based on these developmental milestones, what is the nurse’s best estimate of the infant’s developmental age?

A client with congestive heart failure (CHF) has been unresponsive to conventional drug therapy, and the health care provider prescribes milrinone (Primacor). What is the most important action for the nurse to take before administering this medication?

A nurse plans care for a client with a somatoform disorder based on the understanding that it is:

A client is admitted with multiple physical complaints that have no identifiable medical cause. When planning care, the nurse understands that a somatoform disorder is:

During a group therapy session, several members tell a client that they are intellectualizing to avoid discussing emotions. The client turns to the nurse and asks whether they agree with the group’s observation. What is the nurse’s best response?

A client is rescued from a burning building with partial- and full-thickness burns covering 40% of the body. What initial physiologic change should the nurse expect in this client?

A client newly admitted with bipolar disorder and a history of hyperactivity and combativeness is later found hitting another client during the evening. What are the legal implications of this situation for the nurse and the facility?

While interacting with a client experiencing mania, the nurse notices that the client’s conversation becomes vulgar and offensive. How should the nurse respond to this behavior?

A 10-year-old child with type 1 diabetes is receiving education about insulin therapy. When should the nurse explain that insulin requirements may decrease?

A client is admitted to the post-surgical unit after abdominal surgery. On which primary concern should the nurse focus when planning care during the immediate postoperative period?

A client scheduled for an abdominal cholecystectomy and choledochostomy is informed by the health care provider that a T-tube will be placed postoperatively. What should the nurse include in preoperative teaching regarding the primary purpose of the T-tube?