A nurse is collecting data about cranial nerve function from an adult client. Which of the following images depicts the method the nurse should use to check the function of the hypoglossal cranial nerve (XII)?

Image A

B.

C.

Image B

Image C

Image D

A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply.)

A nurse at a long-term care facility is caring for an older adult client who has dementia and is at risk for malnutrition. Which of the following actions should the nurse take to promote an increase in food intake?

A nurse is caring for an adult client who has acute lymphocytic leukemia. The client is refusing blood products. Which of the following responses should the nurse make?

A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?

A nurse is caring for a client who is postoperative.

Medication Administration Record

0830:

Morphine 10 mg subcutaneous every 3 hr PRN pain

What documentation in the client's medical record requires further action by the nurse.

A nurse is providing end-of-life care to a client who is experiencing dyspnea. Which of the following actions should the nurse take?

A nurse is assisting in the care of a client who is receiving newly prescribed IV antibiotics.
Which of the following findings should the nurse report immediately?

A nurse is assisting with feeding a client who has had a stroke. Which of the following findings should the nurse identify as a manifestation of dysphagia?

A home health nurse is assisting in the care of a client.

Nurses' Notes Day 1:

Collecting client data on food safety.

Raw meats and raw vegetables are prepared together on one cutting board. Refrigerator is set to 6.7° C (44° F)

Leftovers are discarded after 7 days in refrigerator. Frozen foods are defrosted on the countertop.

Client washes hands for 10 seconds before cooking.

Leftovers are refrigerated after sitting on the countertop for 3 hr.

Reinforced client teaching about food safety. Follow-up visit scheduled in 2 weeks.

Day 14:

At client's home to collect follow-up data on food safety. Uses one cutting board to prepare raw meats and a different cutting board to prepare raw vegetables.

The refrigerator is set to 5.6° C (42° F).

Leftovers are discarded after 2 days in refrigerator. Frozen foods are defrosted in the refrigerator.

Client washes hands for 15 seconds before cooking.

Select the 4 findings that indicate an understanding of the reinforced teaching.

A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?