The nurse is assigned 4 clients on an acute medical unit. It is the beginning of the shift and the nurse has just received the reports. Which of the following clients should the nurse see first?

Reference Ranges:

A client at an ophthalmologist office is advised a Snellen chart test will be conducted during the appointment. The client asks the nurse how to interpret the test results.

A client received 2 mg of morphine sulfate IV through client-controlled analgesia (PCA) 10 minutes ago. As the nurse was assisting the client from the bed to a chair, the client felt dizzy and fell into the chair. 

 Which of the following should the nurse perform next?

A nurse is reviewing potential complications related to pulmonary artery (PA) catheters. Which of the following nursing interventions helps to prevent PA associated complications?

The nurse takes a client's blood pressure manually. It is 150/99 mmHg on the right arm. The nurse then takes two more blood pressures on the same arm. They are 162/89 mmHg and 156/90 mmHg. What should the nurse enter when charting the vital signs?

The nurse is caring for a client on an acute medical unit. The client is malnourished and had a nasogastric (NG) tube inserted yesterday. They are receiving continuous enteral feedings. The client rings the call bell and the nurse enters the room to find that they have vomited several times. Which of the following does the nurse identify as a likely cause of the vomiting?

The nurse is caring for a client who has recently undergone surgery for the placement of a sigmoid colostomy pouch. Over the past couple of the days, the client has been experiencing excessive, watery leakage from the pouch and it is frequently overflowing. The nurse is reviewing the client's medication chart for morning drugs to be administered. Which of the following medication orders should the nurse withhold and verify with the healthcare provider?