NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN, Updated 2024, Complete Questions & Answers with rationale NEW NEW A++

NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN, Updated 2024, Complete Questions & Answers with rationale NEW NEW A++ The nurse is caring for a client with chest pain in the Emergency Department. Which of the following laboratory findings would MOST concern the nurse? 1. Erythrocyte sedimentation rate (ESR): 10 mm/hr 2. Hematocrit (Hct): 42% 3. Creatine phosphokinase-MB (CK-MB): 4 ng/mL 4. Serum glucose: 100 mg/dL - answer3 The nurse is caring for a client 4 hours after intracranial surgery. Which of the following actions should the nurse take immediately? 1. Turn, cough, and deep-breathe the client. 2. Place the client with the neck flexed and head turned to the side. 3. Perform passive range-of-motion exercises. 4. Move the client to the head of the bed using a turning sheet. - answer4 A nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The priority nursing diagnosis would be