A client presents to the doctor's office with a report of fatigue and difficulty sleeping.
Which information should the nurse recognize as a potential contributing factor?

The nurse is using guided imagery with a client who is experiencing chronic pain.
What should the nurse direct the client's attention on during the session?

The nurse is caring for a patient one week post-surgery.
Which finding should the nurse expect to see if the surgical incision is healing properly?

A postoperative client has been prescribed three different analgesics for different levels of pain.
What is the most important intervention the nurse should take when administering these medications to the client?

The nurse is teaching a client how to self-administer subcutaneous heparin injections.
Which instruction should the nurse include?

A client arrives at the emergency department (ED) with severe right upper quadrant pain.
To assess the quality of the client's pain, which approach should the nurse use?

After a long bed rest, a client with a Foley catheter and wrist restraints has repeatedly removed the antibiotic (G) tube and NG tube.
At checking the restraints, which action is most important for the nurse to take?

A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?

The nurse observes that a client is using accessory muscles. Which vital sign should the nurse obtain first?

An ulcerated foot peronet (FP) is to be implemented. The UAPs state they have not yet been educated on this before charging assignments.
What action should the nurse take first?

The nurse observes a new employee, an uncertified nursing assistant (UAP), checking the temperature using a tympanic thermometer. The UAP pulls the client's auricle up and back and prepares to insert the thermometer.
Which action should the nurse implement?