For a client at a high risk of aspiration, the nurse anticipates that there will be goals and interventions (taking action) related to safety observations during:

A student nurse is performing a urinary catheterization for the first time and inadvertently contaminates the  catheter by touching the bed linens. What should the nurse do to maintain surgical asepsis for this procedure? 

The nurse is preparing to assess a client's oral temperature. The nurse should plan to place the thermometer probe in which area of the client's mouth?

A resident of a long-term care facility has moderate hearing loss and is hard of hearing. When communicating with this resident, which of the following would be the best initial technique?

A nurse is managing a patient's fluids and outputs over a shift. Here are the details:

• 0700: The nurse starts an IV of 0.45% Normal saline infusing at 100 mL/hr.
• 0900: The patient has coffee-ground emesis (vomit) measuring 300 mL.
• 1000: The nurse stops the IV of 0.45% Normal saline to administer an IV antibiotic. The antibiotic administered is Kefzol 1 g in 25 mL of D5W over 30 minutes.
• 1030: The antibiotic infusion stops, and the nurse resumes the IV fluid of 0.45% Normal saline at 100 mL/hr.
• 1100: The physician orders the insertion of an NG tube and intermittent suction. The nurse inserts the NG tube and connects it to intermittent suction.
• 1530: The patient voids another 350 mL and 200 mL. The nurse checks the NG tube canister and records the output for the shift as 300 mL.

Calculate the patient's total intake from 0700 to 1530.

A nurse is caring for a client who has a history of falling at their assisted living facility. The client is oriented
to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall?

While caring for a female patient with advanced multiple sclerosis, the nurse is discussing the difference between hospice and palliative care. Which statement by the patient indicates understanding of the difference between hospice care and palliative care?

While assessing breath sounds, a nurse hears crackles. What causes these lung sounds?

Which technique should the nurse use to assess the pupillary reaction on a client?

A client comes to the emergency department complaining of abdominal cramping and severe persistent diarrhea. The client has recently traveled outside of the United States to an area that may be prone to water contamination. The physician has written several orders. Which assessment and diagnostic physician order would be the first priority for the nurse to complete based on the patient's symptoms?

Ancient has developed dysphagia secondary to a cerebrovascular accident. The doctor has ordered pureed diet with nectar thick liquids. Which of the following would be appropriate for this client?