A nurse is collecting data from a client who has recently stopped smoking.
Which of the following findings should the nurse recognize as a manifestation of acute nicotine withdrawal?

A nurse is reinforcing teaching about self-care with an adolescent client who has infectious mononucleosis with splenomegaly.
Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reinforcing teaching with a client who requires a bladder-training program for urinary incontinence.
Which of the following instructions should the nurse include in the teaching?

A nurse is contributing to the plan of care for a newly-admitted client who has schizophrenia and a history of aggressive behavior.
Which of the following interventions should the nurse include in the initial plan?

A nurse is collecting data from an adolescent client who takes digoxin.
The nurse should monitor the client for which of the following adverse effects?

A nurse is checking a newborn’s Moro reflex.
Which of the following actions should the nurse take to elicit this reflex?

A nurse is planning care for a client who is 1 day postoperative following abdominal surgery.
Which of the following tasks should the nurse delegate to an assistive personnel?

A nurse is collecting data from a client who is recovering from a recent stroke.
Which of the following findings should indicate to the nurse the need for a referral to a speech-language pathologist?

A nurse is caring for a client who has dementia.
Which of the following actions should the nurse take to promote communication?

A nurse is preparing to provide report on a client using the Situation-Background- Assessment-Recommendation (SBAR) Communication tool.
Identify the order in which the nurse should give report.

A nurse is preparing to give change-of-shift report to the oncoming nurse. Which of the following information should the nurse include?