Exhibits

The nurse is preparing to discharge the client. Which of the following statements by the client indicates an understanding of the discharge teaching? Select all that apply.

A nurse is teaching a client about skin cancer prevention. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has urticaria following administration of an antibiotic. Which of the following medications should the nurse prepare to administer?

A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?

A home care nurse is making a follow-up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following actions should the nurse take?

A nurse on a postpartum unit is caring for a client.

Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.
Vital Signs:
Postpartum day 3, 0815:

• Temperature 38.2° C (100.8° F)
• Heart rate 104/min
• Respiratory rate 18/min
• BP 108/70 mm Hg
• SaO2, 97% on room air

Nurses' Notes:
Postpartum day 3, 0815:

• Client reports feeling unwell.
• Lung sounds clear but diminished in the bases.
• Client states breasts feel firm, heavy, and warm with moderate nipple discomfort while breastfeeding.
• Uterus firm at 1 cm above the umbilicus and tender to palpation.
• Fundus boggy but firmed with massage.
• Moderate amount of dark brown, foul-smelling lochia noted.
• Surgical incision well approximated with slight edema present: no redness or drainage noted.
• No bowel movement since birth. hypoactive bowel sounds.

Diagnostic Results:
Postpartum day 3, 0900:

• Hemoglobin 11.1 g/dL (greater than 11 g/dL) 
• WBC count 33.000/mm3 (5,000 to 10,000/mm3)

A nurse in a mental health facility is caring for a client who is experiencing a panic level of anxiety. Which of the following actions should the nurse take?

A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?

A nurse is caring for a client who is obese. The client is crying and states, "Everyone is staring at me because of my weight." Which of the following responses should the nurse make?

A nurse is caring for a client at the clinic.

Complete the following sentence by using the lists of options.

The client is at risk for

A nurse is caring for a child who reports migraine headaches for the past 4 months. Which of the following actions should the nurse take first?