A nurse is caring for a client on an acute mental health unit.

Exhibits

Complete the following sentence by using the list of options.

The nurse should delegate the client's

____________

 and focus on

_________

A nurse is caring for a client who is pregnant.

The nurse is reviewing the client's medical record. Select 4 findings that indicate a potential prenatal complication.

A nurse is preparing to insert an IV catheter for a client. Which of the following actions should the nurse plan to take?

A nurse is caring for a client.

Select the 2 actions that the nurse should take.

A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?

A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a neonate in the neonatal intensive care unit. Q122

Which findings in the client's electronic medical record (EMR) are risk factors for the client developing a complication? Select all that apply.

A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding?

A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile. Which of the following infection control precautions should the nurse take?

A nurse is caring for a client.

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

Nurses' Notes

0900:

Client who is at 38 weeks of gestation presents to the antepartum unit with uterine contractions, dark red vaginal bleeding, and abdominal pain that started approximately 45 min prior to arrival. Rates abdominal pain a 7 on a scale of 0 to 10. Client reports, "My blood pressure has been high during the pregnancy."

Home Medications: prenatal multivitamin, methyldopa 250 mg PO twice daily Physical Exam:

General: tearful, anxious

Cardiovascular: S1, S2, no murmur

Respiratory: bilateral breath sounds clear

Abdomen: Uterine hypertonicity with a board-like abdomen, tenderness noted upon palpation of left upper quadrant

FHR: 116/min, minimal variability noted

A nurse is caring for a 9-year-old child at a clinic.

Select the 3 priority actions that the nurse should take.