A nurse is providing teaching to a client who is undergoing radiation therapy and has stomatitis. Which of the following responses by the client indicates an understanding of the teaching?

A nurse is caring for a client who has active pulmonary tuberculosis. Which of the following actions should the nurse take?

A nurse is caring for a client who is in labour and notes that the umbilical cord is prolapsed. Which of the following actions should the nurse take?

A nurse is caring for a client who is postoperative following the administration of general anesthesia.

Select from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect?

A nurse is caring for a client whose partner died in a fire that destroyed their home. Which of the following actions should the nurse take first?

A nurse is caring for a client who has a prescription for 1 unit of packed RBCs. Five minutes after beginning the transfusion, the client becomes febrile with chills. After stopping the transfusion, which of the following actions should the nurse take?

A nurse is caring for a client during a follow up visit at a gastrointestinal clinic.

Nurses' Notes

0600:

Client admitted to the ED with fatigue, shortness of breath, and weakness for the last 2 days. Client states that they have a history of sickle cell disease (SCD). Client is alert and orientated to person, place, and time. Restless. Client rates generalized pain as a 9 on a scale of 0 to 10. Vital signs taken and blood drawn for laboratory tests. Oxygen 2 L via nasal cannula applied. Awaiting prescription for pain management.

0615:

Client still rates pain as a 9 on a scale of 0 to 10. Hydromorphone 4 mg IV administered.

Which of the following interventions should the nurse implement?

Select all that apply.

A nurse is admitting a client to the psychiatric unit after attempting suicide. The client states, "My family does not care whether I live or die." Which of the following responses should the nurse make?

A nurse in an outpatient mental health clinic is caring for a client.

Exhibit 1

Vital Signs

3 months ago:

Blood pressure 116/68 mm Hg

Heart rate 82/min

Respiratory rate 16/min

Temperature 36.7° C(98.1° F)

SaO2 97% on room air

Today:

Blood pressure 128/76 mm Hg

Heart rate 104/min

Respiratory rate 22/min

Temperature 37.4° C(99.4° F)

SaO2 97% on room air

Exhibit 2

Nurses' Notes

3 months ago:

Client recently admitted with new diagnosis of schizophrenia. Received inpatient treatment for 10 days and was discharged 1 week ago. Client is alert and oriented to person, place, time, and situation. Responds appropriately to questions. Client reports sleeping well and working at a local retail store.

Today:

Client presents for follow-up visit. Pressured speech noted.

Appears to be listening to unseen others. Client is restless.

Frequently getting out of chair. Appears tired and disheveled.

Exhibit 3

Graphic Record

3 months ago:

83.9 kg (185 lb)

Today:

83 kg(183 lb)

A nurse in an outpatient mental health clinic is caring for a client. Select the 3 findings that require immediate follow-up.

A nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client?