An adult client is admitted to the psychiatric unit because of a daily, complex handwashing ritual that takes two hours or longer to complete.

The client worries about staying clean and refuses to sit on any of the chairs in the day area.

This client's handwashing is an example of which clinical behavior?

A client receives a prescription for 1 liter of lactated Ringer's intravenously (IV) to be infused over 12 hours.

The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only.

If rounding is required, round to the nearest whole number.).

A parent asked the nurse how to care for their 4-year-old child after receiving the Haemophilus influenzae Type b (Hib) conjugate vaccine.
Which instruction should the nurse provide?

Patient Data.

Which order would the nurse question? Select all that apply.

Patient Data

The nurse notes that the client’s oxygen saturation is 88% on room air.

What is the priority action by the nurse?

A male client who is admitted with bipolar disorder, manic psychosis, is placed in seclusion after unsuccessful attempts to de-escalate him during a sudden mood swing from laughter to jumping and screaming threats while waving a plastic dinner knife.

The client is given haloperidol.

5 mg intramuscularly STAT prior to seclusion.

Which intervention is most important for the nurse to implement immediately after seclusion?

The nurse is providing education to a client who receives a prescription for zolpidem.
Which information about the medication should the nurse include?

Patient Data

What is the rationale for the order of supplemental oxygen 10 L/min via nasal cannula? Select the best answer.

A 70-year-old female presents to the emergency department triage with a noticeable facial droop and garbled speech.

After having a few drinks at a local seafood restaurant, the client’s husband noticed his wife’s speech became difficult to understand.

The triage nurse does a rapid assessment of the client.

1915: Client arrives via personal car to emergency department with facial drooping and garbled speech.

Click to highlight the data that indicate the client is in need of immediate health interventions.

In assessing a client with an indwelling urinary catheter following the provision of care by an unlicensed assistive personnel (UAP), the practical nurse (PN) observes that the catheter drainage bag, which is half- full, is attached to the side rail and the tubing is looped on the bed.

Which action should the PN implement?

The practical nurse (PN) receives a report of a stable client who experienced partial-thickness burns over 30% of the body surface area (BSA) 3 days ago.

Which complication is most important for the PN to anticipate?