The home care nurse visits a patient with a history of heart failure who has complaints of dyspnea. The nurse notes the patient has pitting edema in their feet and ankles. Based upon the patient's assessment, what additional finding might the nurse expect in regards to the patient's lung sounds?

A patient consumed 8oz of coffee and 200mL of water at breakfast, and urinated 300mL. At lunch he consumed a 12oz tea, 60 mL popsicle (frozen ice), and urinated 300mL. After lunch the patient felt nauseated and had 60mL of emesis. Calculate the total output for this patient.

The client is complaining of soreness around the stoma site. The nurse notes proper drainage in the bag, however, the surrounding skin is red, irritated, and moist. How will the nurse interpret this assessment?

A client is on bedrest, and an enema has been ordered. In what position should the nurse position the client?

What is a fecal occult blood test (FOBT)?

A client is ordered to increase his warfarin to 5mg PO daily. The client has 2mg tablets on hand. How many tablets will the client take daily?

Which of the following are stages recognized by Maslow's Hierarchy of Needs Theory? (Select all that apply).

A patient with a respiratory disease of COPD is refusing to eat. Which action by the nurse would be most helpful in stimulating appetite in this patient?

The nurse is obtaining morning vital signs and assessing a 64 year old female client who was admitted with community acquired pneumonia over night. The client is sleeping in supine position, however, she is easily arousable, alert and oriented, and reports no complaints at this time. The client's vital signs are: blood pressure 132/68, heart rate 88 beats per minute, respiratory rate 24 breaths per minute. O2 saturation 87% on 2L nasal cannula oxygen. What is the nurse's first priority action?

A nurse is gathering assessment data on a new patient at the clinic for a yearly physical assessment. The patient is a 55-year-old Hispanic obese male. Patient states his father died at age 52 of a heart attack. During the interview, the patient states they have a desk job and sits all day, eats mostly fast- food, and traditional foods high in fat, and smokes 1 pack of cigarettes per day. The patient states in the evening he mostly enjoys sitting on the couch watching television. The nurse plans to provide education to the patient on modifiable risk factors to prevent coronary artery disease. Which of the following are a modifiable risk factors?

A client had his foley catheter removed eight hours ago and is unable to void. The nurse performs a bladder scan to check bladder volume. The bladder scan demonstrates more than 600mL of urine in the bladder. What should the nurse do next?