A nurse is caring for a client with partial-thickness and full-thickness burns on the head, neck, and chest.

What is the primary risk to the client?

A patient has recently had a cast applied to their left lower extremity.

Which of the following is included in the nursing care of this fresh cast?

The nursing assistant is delivering patient meals.

What meal should the nurse expect to be delivered to a patient who had gastric bypass surgery the day before?

A nurse is educating a client newly diagnosed with hepatitis C. Which statement from the nurse best describes how the virus is transmitted?

The nurse is about to administer 1 liter (1000 mL) of 0.9% NS over 2 hours intravenously to a patient in shock.

What rate should the nurse set on the infusion pump?

A nurse is preparing to administer heparin subcutaneously to a client.

Which action by the nurse is appropriate?

A nurse is assisting a postoperative client.

The client is alert and oriented to person, place, and time, and reports incisional pain of 9 on a scale of 1 to 10. Morphine 8 mg was administered subcutaneously as prescribed at 0900.

The client is now sleeping and is difficult to arouse.

Pupils are 3 mm, equal and reactive to light.

Temperature is 37.5 C (99.5°), respirations are 10/min, and pulse oximetry is 87% on room air.

Which documentation in the client’s medical record requires further action by the nurse?

Given the following vital signs, which should the nurse address first in the patient?

A nurse is helping a postoperative patient following a total hip arthroplasty into a supine position.

Which of the following actions is appropriate to prevent hip dislocation?

A nurse is advising a client who is taking furosemide and has a serum potassium level of 3.1 mEq/L. Which food should the nurse recommend the client to incorporate into their daily diet?

A patient with a colostomy says, “My pouch blows up like a balloon when I pass gas.”. What is an appropriate response by the nurse?