Following a motor vehicle collision, a client with chest trauma receives a chest tube to relieve a hemothorax. Two hours after chest tube insertion, the nurse observes the water level in the water-seal chamber rising during inspiration and falling during expiration. Which action should the nurse implement?

Following a motor vehicle collision, a client with chest trauma receives a chest tube to relieve a hemothorax. Two hours after chest tube insertion, the nurse observes the water level in the water-seal chamber rising during inspiration and falling during expiration. Which action should the nurse implement?

A client is recovering from the surgical removal of glass in the right eye. Which intervention should the nurse implement immediately following the procedure?

A client with chronic kidney disease (CKD) missed dialysis yesterday to attend a funeral. The client's spouse calls the home health nurse and reports that the client is lethargic and hard to arouse. Which instruction is most important for the nurse to provide?

A client with draining skin lesions of the lower extremity is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA). Which nursing intervention(s) should the nurse include in the plan of care (POC)? Select all that apply.

The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which is the best initial nursing action?

A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse?
Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]

A client has a leg cast following an open reduction for a fractured tibia. Approximately two hours after returning to the unit, the client reports severe pain in the affected extremity, and the nurse observes that the limb is blue and blanched. Which action should the nurse perform first?

The nurse obtains a fingerstick blood glucose using a bedside glucose meter for a client with a prescribed sliding scale insulin protocol. The meter indicates 56 mg/dL (3.12 mmol/L). Which intervention should the nurse implement first?

The healthcare provider (HCP) prescribes diagnostic tests for a client whose chest x-ray indicates pneumonia. Which diagnostic test should the nurse review for implementation to guide the most therapeutic treatment of the pneumonia?

The nurse is assessing a group of older adult clients. Which factor in a client's history places the client at greatest risk for developing colon cancer?