A nurse auscultates heart sounds. When the nurse hears S2, which valves is the nurse hearing close?

A nurse is caring for a client 1 day postoperative who has developed atelectasis. Which of the following manifestations is an expected finding for this condition?

While performing an assessment, the nurse hears crackles in the patient's lung fields. The nurse also learns that the patient is sleeping on three pillows to help with the difficulty breathing during the night. Which condition will the nurse most likely observe written in the patient's medical record?

A nurse is calculating the total fluid intake for a client during a 4-hr period. The client consumes 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?

A nurse is assessing a client's radial pulse and determines that the pulse is irregular. Which of the following actions should the nurse take?

The patient requires temperatures to be taken every 2 hours. Which task will be the responsibility of the RN?

Which action by a nurse indicates application of the critical thinking model to make the best clinical decision?

The nurse is completing an assessment of the patient's skin integrity. Which assessment is the priority?

A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? (Select all that apply.)

Which item should the nurse use first to assist in staging an ulcer on the heel of a darkly pigmented skin patient?