A nurse is assisting with reviewing the Health Nurse, Healthy Nation program developed by the American Nurses Association (ANA) for a presentation for a group of staff nurses. Which of the following is one of the five initiatives for this program?

A nurse is assisting with the care of a client who is scheduled for a surgical procedure.

The nurse is reviewing the client's electronic medical record. Which of the following findings places the client at risk for a surgical complication? Select all that apply.

A nurse is preparing to clean a client's dentures. Which of the following actions should the nurse plan to take?

A nurse is assisting in the care of a light-skinned client who has an ileostomy

The nurse is reviewing the client's medical record.

Click to highlight the findings that require intervention by the nurse. To deselect a finding, click on the finding again.

Day 1:

Abdomen soft, nondistended.

Ileostomy present. Stoma is red.

Stoma draining brown liquid stool.

Client will not look at stoma

Client states they are not interested in learning about stoma care.

Day 2:

Ileostomy pouch changed. Skin surrounding stoma is reddened and has small open areas.

Stoma with small amount of bleeding noted during cleaning.

A nurse is preparing a presentation about hospice care services. Which of the following statements should the nurse plan to make during the presentation?

A nurse is assisting a client who has a spinal cord injury with bathing. Which of the following actions should the nurse take?

A nurse is assisting with the care of a client who had a stroke.

Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.

• Mucous membranes pink, skin warm and dry.
• Coughing and clearing throat when eating.
• Voice hoarse after swallowing.
• Temperature 38 °C (100.4 °F)
• Bilateral breath sounds with wheezing heard in upper lobes.
• Oxygen saturation 88% on room air

A nurse does not take a client's apical heart rate, but documents that it was taken in the client's electronic health record (EHR). Which of the following terms describes the nurse's actions?

A nurse is collecting data on a client who reports feeling stress and anxiety. The client appears restless and is pacing. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?

A nurse is preparing to administer NPH insulin to a client. Which of the following actions should the nurse take?

A nurse is assisting with the care of a client.

A nurse in a providers office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.