A nurse is preparing to administer an enema to a client. Which of the following actions should the nurse plan to take?

A nurse does not take a client's apical heart rate, but documents that it was taken in the client's electronic health record (EHR). Which of the following terms describes the nurse's actions?

A nurse is assisting with teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?

A nurse is assisting in the care of a light-skinned client who has an ileostomy

The nurse is reviewing the client's medical record.

Click to highlight the findings that require intervention by the nurse. To deselect a finding, click on the finding again.

Day 1:

Abdomen soft, nondistended.

Ileostomy present. Stoma is red.

Stoma draining brown liquid stool.

Client will not look at stoma

Client states they are not interested in learning about stoma care.

Day 2:

Ileostomy pouch changed. Skin surrounding stoma is reddened and has small open areas.

Stoma with small amount of bleeding noted during cleaning.

A nurse is collecting data on a client who is experiencing anxiety. Which of the following findings should the nurse expect?

A nurse is assisting with preparing a presentation on heart health at a community center for a group of clients. Which of the following actions should the nurse recommend to facilitate learning?

A nurse is assisting with reviewing the Health Nurse, Healthy Nation program developed by the American Nurses Association (ANA) for a presentation for a group of staff nurses. Which of the following is one of the five initiatives for this program?

A nurse is assisting with the care of a client who had a stroke.

Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.

• Mucous membranes pink, skin warm and dry.
• Coughing and clearing throat when eating.
• Voice hoarse after swallowing.
• Temperature 38 °C (100.4 °F)
• Bilateral breath sounds with wheezing heard in upper lobes.
• Oxygen saturation 88% on room air

A nurse is assisting with the care of a client who has a prescription for a referral for case management services. Which of the following actions should the nurse identify is the responsibility of case management services?

A charge nurse is assisting in providing an in-service to a group of nurses about benefits of an interprofessional team. Which of the following information should the nurse include?

A nurse is reinforcing teaching with a client who has a prescription for amoxicillin 5 mL PO. How many teaspoons (tsp) should the nurse instruct the client to take?