A nurse is assessing a client who has a history of type 2 diabetes mellitus. The nurse should identify which of the following findings as an indication of a microvascular complication?

A nurse is assessing a client who has a central venous catheter (CVC) with intravenous (IV) fluids infusing. The client suddenly develops shortness of breath, and the nurse notes that the IV tubing and needleless connector device are disconnected. Which of the following actions should the nurse take first?

A nurse is providing teaching to a client who has a new prescription for warfarin. Which of the following medications should the nurse instruct the client to avoid? (Select all that apply.)

The nurse has reviewed the nurses' notes Day 2 at 0800 and 1200 and vital signs and laboratory results Day 3 at 0800

The nurse is reviewing the client's electronic medical record. Click to highlight the findings that indicate an improvement of the client's condition. To deselect a finding, click on the finding again.

Day 3, 0800:

• Temperature 37° C (98.6° F)
• Blood pressure 112/56 mm Hg Heart rate 88/min
• Respiratory rate 20/min
• Oxygen saturation 95% on room air (95% to 100%)

Day 3, 0800:

• Haemoglobin 15 g/dL (14 to 18 g/dL)
• Haematocrit 45% (42% to 52%)
• Platelets 100,000/mm3 (150,000 to 400,000/mm3)
• Albumin 3.0 g/dL (3.5 to 5 g/dL)
• Ammonia 160 mcg/dL (10 to 80 mcg/dL)

A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identify which of the following lesion characteristics on the client's skin?

A nurse is reviewing the health histories of a group of clients. Which of the following findings should the nurse identify as an indication that a client is at an increased risk for urinary tract infections (UTIs)?

A nurse is caring for a client who has chronic venous insufficiency. Which of the following areas should the nurse assess for the presence of a venous ulcer?

A nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse implement to decrease the client's risk for ventilator-associated pneumonia (VAP)? (Select all that apply.)

A nurse is planning care for a client who has tuberculosis. Which of the following precautions should the nurse implement for this client?

A nurse is preparing to administer enoxaparin 0.75 mg/kg subcutaneously to a client who weighs 69.9 kg (154 lb). The amount available is enoxaparin 60 mg/0.6 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the following statements should the nurse include in the teaching?