A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation.

Which of the following statements should the nurse make?

A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis.

Which of the following actions should the nurse include in the plan of care?

A home health nurse is caring for a child who has Lyme disease.

Which of the following is an appropriate action for the nurse to take?

A nurse is caring for a client who is receiving total parenteral nutrition (TPN).

The bag has 20 mL remaining to infuse, but a new bag is not readily available.

Which of the following actions should the nurse take?

A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis.

Which of the following instructions should the nurse include?

A nurse in an emergency department is caring for a client. Nurses' Notes.

1200:.

Client is an 82-year-old male who presents with his adult child for evaluation of right arm pain after a fall. Client noted to have several superficial abrasions on right forearm and elbow. Also has numerous bruises in various stages of healing on arms and upper chest. Client rates pain in right lower forearm an 8 on a 0 to 10 pain scale and is not moving the arm.

1210:.

Client noted to keep head down and makes limited eye contact. Speaks very softly and looks at adult child before answering interview questions. Has strong body odor and clothes are unclean. Client's adult child answers most questions. Client grimacing and guarding right arm.

Client weighed, is 56.2 kg (124 lb) and 175 cm (69 in) tall. BMI 18.3.

1230:.

Client's adult child left facility to go home and get the client’s prescribed medications. Client visibly more relaxed and now speaking more openly to staff with improved eye contact. Client reports that he has lived with his adult child for the past several.

Vital Signs. 1200:.

Temperature 36.7° C (98° F). Heart rate 96/min.

Blood pressure 142/96 mm Hg. Respiratory rate 16/min.

SpO2 97% on room air.

The nurse is preparing to speak to the facility's Social Worker about the client's condition.

Select the 5 findings the nurse should plan to include in the report.

A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation.

Which of the following actions should the nurse take?

A nurse is caring for a child who is postoperative following a tonsillectomy.

Which of the following findings indicates that the child may be experiencing hemorrhage?

A nurse is preparing to insert an IV catheter for a client.

Which of the following actions should the nurse plan to take?

A charge nurse is teaching new staff members about factors that increase a client’s risk to become violent.

Which of the following risk factors should the nurse include as the best predictor of future violence?

A nurse is performing a skin assessment on a client who has dark skin.

Which of the following locations on the client’s body should the nurse observe to assess for cyanosis?