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?

The nurse is performing pin care for a patient with an external fixation device for a fractured tibia.

Which assessment finding by the nurse should be reported to the unit care coordinator?

When caring for a patient with burns, which assessment data will alert the nurse to the possibility of a local infection of the burned area?

A nurse is attending to a client who has suffered a basal skull fracture.

During the morning hygiene care, the nurse observes a thin clear drainage coming from the client’s right nostril.

What should be the nurse’s immediate action?

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 reinforcing discharge teaching with a client who has pulmonary edema and is about to start taking furosemide.

Which of the following instructions should the nurse include?

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?

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 assisting in the care of a client who has developed cardiogenic shock.

Which pulse site should the nurse use when assessing circulation to the client’s brain?

A nurse is caring for a client who is to maintain a fluid restriction of 1,200 mL/24 hr. How many mL of fluids can the client have over the next 20 hr if the client had a total fluid intake of 300 mL during the first 4 hr of the shift?

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

Which action by the nurse is appropriate?