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A nurse assesses a client who has facial trauma. Which assessment findings require immediate intervention? (Select all that apply.)

A nurse assesses the following electrocardiography (ECG) strip from a client’s telemetry monitor. What does the nurse chart as the client’s ventricular heart rate?

A client is experiencing sinus bradycardia with hypotension and dizziness. What medication does the nurse administer?

A nurse plans care for an alert client who has chronic obstructive pulmonary disease and thick, tenacious secretions. The client is able to expectorate productive secretions. Which interventions would the nurse include in this client’s plan of care to assist with expectorating these secretions? (Select all that apply.)

The nurse is preparing to receive a postoperative client who just had a tracheostomy. Which action by the nurse takes priority?

When working with women who are taking hormonal birth control, what health promotion measures does the nurse teach about taking hormonal birth control and smoking? 

A nurse assesses a client who is recovering from a myocardial infarction. The client’s blood pressure is 140/90 mm Hg. What action would the nurse take first?

A client is admitted to the cardiac care unit with a diagnosis of myocardial infarction. The client asks the nurse, “What is causing the pain I am having?” The most appropriate response by the nurse is, “The pain is the result of:

A nurse assesses several clients who have a history of respiratory disorders. Which client would the nurse assess first?

Which of the following conditions is LEAST likely to cause acute vision loss?