A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test.

Which of the following findings should indicate to the nurse that the client has hyperglycemia?

A nurse is caring for a client.

Exhibit 1 Nurses' Notes Day 1: Exhibit 2 Exhibit 3 Client reports fatigue, weight loss, night sweats, and a persistent cough.

Performed a purified protein derivative test on the client and obtained a QuantiFERON-TB Gold blood test as prescribed.

Bilateral breath sounds with crackles and scattered wheezes throughout.

Cough productive for yellow, purulent sputum.

What are the first two actions the nurse should take?

A nurse is caring for an infant who is to undergo surgery.

The nurse should identify which of the following individuals should sign the consent form?

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

Which of the following actions should the nurse take?

A nurse working on a medical-surgical unit is making client assignments for an upcoming shift.

Which of the following tasks should the nurse assign to an assistive personnel?

A nurse is delegating client care tasks to assistive personnel.

Which of the following tasks should the nurse delegate?

A nurse is reviewing the medical record of a newly admitted client.

Which of the following laboratory values should the nurse report to the provider?

A nurse is preparing to administer IV fluids to a client.

The nurse notes sparks when plugging in the IV pump.

Which of the following actions should the nurse take first?

A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden, severe abdominal pain.

Which of the following actions should the nurse take first?

A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr.

Which of the following actions should the nurse take first?