The nurse is caring for a client 12 hours post-thyroidectomy. Which assessment finding requires immediate intervention?

A client receiving heparin therapy has a platelet count drop from 220,000 to 95,000/mm³. What is the nurse’s priority action?

Which finding most strongly indicates increased intracranial pressure (ICP)?

The nurse is reviewing labs for a client with suspected liver failure. Which value is most concerning?

A client undergoes cardiac catheterization via the femoral artery. Which assessment is priority post-procedure?

Which client is at highest risk for aspiration?

A postoperative client reports sudden shortness of breath and chest pain. Oxygen saturation is 86%. What is the nurse’s first action?

Which lab value places a client at greatest risk for seizures?

The nurse is preparing a client for a CT scan with contrast. Which assessment finding must be reported before the procedure?

Which client is most at risk for disseminated intravascular coagulation (DIC)?

A client receiving TPN develops fever, chills, and hyperglycemia. What complication is suspected?

Which finding indicates early hypovolemic shock?

The nurse is caring for a client with acute pancreatitis. Which lab value is most concerning?

Which assessment finding after a lumbar puncture requires immediate action?

A client with a chest tube has continuous bubbling in the water-seal chamber. What does this indicate?

Which finding indicates acute urinary retention?

A client with cirrhosis is at risk for hepatic encephalopathy. Which lab value is most indicative?

Which client is at highest risk for contrast-induced nephropathy?

The nurse is monitoring a client after blood transfusion. Which finding indicates acute hemolytic reaction?