A nurse is caring for a patient admitted with a lower respiratory infection.

After assisting the patient to bed and applying the prescribed oxygen, which finding would help the nurse evaluate the effectiveness of the nursing care?

A nurse is collecting data from a client who has peptic ulcer disease.

Which of the following findings is a manifestation of gastrointestinal perforation?

A nurse is caring for a client during the fluid resuscitation phase of burn management.

Which of the following is the best method for assessing the results of the fluid resuscitation?

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 providing care for a client with severe burns.

The client’s vital signs at 0820 are as follows: Blood pressure 140/80 mm Hg, Heart rate 110/min, Respiratory rate 25/min, Sa 98% on room air, Temperature 36.1 C (97° F). Which of the following interventions should the nurse consider? (Select all that apply.)

A patient arrives at the emergency department with a stab wound to the chest.

The healthcare provider places two chest tubes to drain air and blood from the patient’s thoracic cavity.

Where should the nurse place the system?

A patient with acute pancreatitis is in severe pain.

Which position should the nurse suggest the patient to assume?

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

Which action by the nurse is appropriate?

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 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 caring for an 85-year-old patient with septic shock.

What should the nurse consider when repositioning this patient?