A nurse is assisting with the care of the client

Exhibits

Complete the following sentence by using the list of options.

The nurse should first plan to 

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followed by

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A nurse is collecting data from a client about her current pain status. Which of the following questions should the nurse ask to determine the quality of the client's pain?

A nurse is assisting in the care of the client who is postoperative following a fasciotomy.

The nurse is reviewing the client's electronic medical record (EMR). Click to highlight the statements in the EMR that indicate the client's condition is improving since implementing interventions. To deselect a finding, click on the finding again

Nurses' Notes

Day 3, 2300:

Client is alert and oriented to person, place, and time. Bilateral breath sounds clear and present throughout. Right leg with splint in place. Incisional dressing dry and intact. Wound drain to negative-pressure vacuum, draining small amounts of serosanguinous fluid. Bilateral pedal pulses 3+. Feet warm with intact movement and sensation. Client reports pain as a 4 on a scale of 0 to 10.

Vital Signs

Day 3, 2300:

Temperature 37.8° C (100° F)

Blood pressure 120/58 mm Hg

Heart rate 98/min

Respiratory rate 20/min

Oxygen saturation 95% on room air

A nurse is reinforcing teaching with a 30-year-old client who is concerned about cervical cancer. Which of the following statements should the nurse make?

A nurse is contributing to the plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

A nurse is admitting a client who reports excessive thirst, fever, and periods of confusion. The nurse suspects the client is experiencing heat exhaustion. Which of the following electrolyte imbalances should the nurse expect?

A nurse is reinforcing teaching about ostomy care with a client who has a new colostomy. Which of the following findings should the nurse instruct the client to report to the provider?

A nurse is contributing to the plan of care for a client who has AIDS and has malnutrition. Which of the following actions should the nurse include in the plan of care?

A nurse is preparing to discontinue a client's intravenous infusion. Identify the sequence the nurse should follow to remove the IV catheter. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A nurse is caring for a client who is 2 days postoperative following abdominal surgery. The nurse auscultates hypoactive bowel sounds, and the client reports cramping abdominal pain. Which of the following actions should the nurse take first?

A nurse is assisting in the care of a client following a tonsillectomy who is alert and has an SpO2 of 93% on room air. Which of the following actions should the nurse take?