A 9-month-old infant is admitted with severe dehydration. Which assessment finding is the most critical indicator of fluid volume deficit?

A nurse is working with a client who uses sarcasm and humor to avoid discussing their feelings. The nurse identifies this as which type of defense mechanism?

A nurse enters a patient's room and finds the patient sitting upright in bed, appearing anxious, using accessory muscles to breathe, and reporting "I can't catch my breath." The patient's oxygen saturation is 88% on room air. What is the first intervention the nurse should take?

The nurse is teaching a patient with chronic bronchitis about preventing exacerbations. Which instruction is most important?

Which action best exemplifies effective care coordination for a patient being discharged home after a stroke?

What is the primary purpose of a focused neurological assessment?

A client with schizophrenia states, "The government is tracking my thoughts through my dental fillings." The nurse identifies this as which type of delusion?

What is the most appropriate action for a nurse to take when a patient's oxygen saturation drops to 88% on room air?

A nurse is caring for a client in active labor who has received an epidural. Which potential complication should the nurse monitor for?

The licensed nurse will administer antidepressant medication. Which of the following statements about antidepressants is true?

When floating to an unfamiliar unit, what is the nurse's primary responsibility regarding patient safety?

A nurse is monitoring a patient with Addison's disease. Which finding would indicate an impending adrenal crisis and require immediate intervention?

A client experiencing an acute panic attack reports feeling dizzy and short of breath. What is the priority nursing action?

A toddler with Tetralogy of Fallot develops a hypercyanotic (tet) spell. The nurse's priority intervention is to:

A nurse is caring for a client who is 30 weeks gestation and reports a sudden gush of fluid from the vagina. Which action should the nurse take first?