At 0600 while admitting a woman for a scheduled repeat cesarean section, the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?

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Question 1 of 9

At 0600 while admitting a woman for a scheduled repeat cesarean section, the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 9

A client asks the nurse to call the police and states: 'I need to report that I am being abused by a nurse.' The nurse should first

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 9

A client with atrial fibrillation is prescribed warfarin, and their INR is elevated. What is the nurse's priority action?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 9

A client with hypothyroidism is prescribed levothyroxine. What assessment finding suggests the medication dosage is too high?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 9

The nurse is administering an intradermal injection for a tuberculosis skin test. Which technique should the nurse use?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 6 of 9

A client admitted with left-sided heart failure presents with shortness of breath and pink frothy sputum. Which assessment finding requires immediate intervention?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 7 of 9

A male client with heart failure presents with shortness of breath, audible wheezing, and pink frothy sputum. What action should the nurse take?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 8 of 9

A female client with acute respiratory distress syndrome (ARDS) is sedated and on a ventilator with 50% FIO2. What assessment finding warrants immediate intervention?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 9 of 9

A 48 year-old client with chronic alcoholism is admitted to the hospital. The nurse would anticipate that the client may be deficient in which vitamins?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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