A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis.

Which of the following actions should the nurse include in the plan of care?

A nurse is assessing a 2-year-old toddler.

Which of the following findings should the nurse expect?

A nurse is planning to teach a client about taking prednisone.

Which of the following instructions should the nurse include

A nurse is assessing a client who is in active labor.

Which of the following findings should the nurse report to the provider?

A nurse in an emergency department is caring for a child who reports being sexually abused by a family member.

Which of the following actions should the nurse take?

A nurse in an emergency department is caring for a client. Nurses' Notes.

1200:.

Client is an 82-year-old male who presents with his adult child for evaluation of right arm pain after a fall. Client noted to have several superficial abrasions on right forearm and elbow. Also has numerous bruises in various stages of healing on arms and upper chest. Client rates pain in right lower forearm an 8 on a 0 to 10 pain scale and is not moving the arm.

1210:.

Client noted to keep head down and makes limited eye contact. Speaks very softly and looks at adult child before answering interview questions. Has strong body odor and clothes are unclean. Client's adult child answers most questions. Client grimacing and guarding right arm.

Client weighed, is 56.2 kg (124 lb) and 175 cm (69 in) tall. BMI 18.3.

1230:.

Client's adult child left facility to go home and get the client’s prescribed medications. Client visibly more relaxed and now speaking more openly to staff with improved eye contact. Client reports that he has lived with his adult child for the past several.

Vital Signs. 1200:.

Temperature 36.7° C (98° F). Heart rate 96/min.

Blood pressure 142/96 mm Hg. Respiratory rate 16/min.

SpO2 97% on room air.

The nurse is preparing to speak to the facility's Social Worker about the client's condition.

Select the 5 findings the nurse should plan to include in the report.

A nurse on a telemetry unit is assessing a client who is receiving continuous cardiac monitoring. The client's heart rate is 69/min and the PR interval is 0.24 seconds. The nurse should interpret this finding as which of the following cardiac rhythms?

A nurse has just received change-of-shift report for four clients.

Which of the following clients should the nurse assess first?

A nurse is reviewing the medical records of four clients.

The nurse should identify that which of the following client findings requires follow-up care?

A nurse is caring for a client who is admitted to the medical-surgical unit. Client reports, "I'm bloated and my stomach hurts."

The nurse reviews the client's laboratory findings and vital signs.

Select the 5 findings that require immediate follow-up.

A nurse in an emergency department is caring for a client.

Which of the following information provided by the client indicates improvement? Select all that apply.