The patient walks into to the emergency department (ED) complaining of significant pain in the right eye. It appears red and swollen. The pupils are not equal in size or reactivity – the right pupil remains dilated despite the bright exam room and the flash light. The patient cringes from the bright light, though, and complains the bright lights are hurting his head. He reports that over the last week, both eyes have been aching and he has been seeing halos around lights. The nurse prepares for which test to be performed first?

The nurse performs a shift assessment on the patient who has been undergoing continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP) for 3 days and notes the output to be an amber color. Which action by the nurse is most appropriate?

An infant of 32 weeks gestation is born precipitously and is noted to be pale and limp. Resuscitative actions are initiated. At one minute of life, the infant has a pinkish central body, bluish hands and feet, a heart rate of 135 bpm, grimaces with painful stimuli, remains limp, and exhibits gasping respiration. Assign an Apgar score to this neonate using a whole number.