The nurse is conducting a visual screening of a group of older adults. Which finding should the nurse report to the healthcare provider immediately?

The nurse is preparing to administer enoxaparin 30 mg subcutaneously using a pre-filled syringe containing 30 mg in 0.3 mL. Which action should the nurse implement?

The post anesthesia care unit (PACU) nurse uses the SBAR format in reporting to the surgical unit nurse regarding an older client who had a right total hip replacement for avascular necrosis. Vital signs are reported, which are all stable and within normal limits. The nurse also reports that the client was medicated for pain with morphine 2 mg IV and ondansetron 4 mg IV 45 minutes ago, which reduced the pain level to 4 on a 0 to 10 scale, but the client is still nauseated. Which additional information is critical for the PACU nurse to include in the SBAR format report? Select all that apply.

The nurse calms the client and deescalates the situation. The nurse notes that a diagnosis of posttraumatic stress disorder has been added to the care plan.

Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.

The nurse recognizes that elevated

The camp nurse is teaching adolescents about the prevention of tinea pedis. Which instruction should the nurse include in the teaching plan?

A client is admitted for blunt force chest trauma following a motor vehicle collision. A nasogastric (NG) tube was inserted in the emergency department and chest x-ray results indicate that the tip of the NG tube is in the left chest. Which priority action(s) should the nurse implement? Select all that apply.

In determining the one minute Apgar score of a neonate, the nurse assesses a heart rate of 120 beats per minute and 44 respirations per minute. The neonate has flaccid muscle tone with slight flexion and slight resistance to straightening, a loud cry with stimulation, and acrocyanotic color. Which is the correct Apgar score for this neonate?

Patient Data

Initial testing is complete, and the nurse reviews the laboratory and imaging results.

Choose the most likely options for the information missing from the statements by selecting from the lists of options provided.

The nurse recognizes that the client likely has

Patient Data  

For each action, identify if it is indicated or not indicated when monitoring the effects of lorazepam administration. Each row must have one response action selected.

The nurse is assigned to care for a client diagnosed with psoriasis. Which behavior by the nurse addresses this client's psychosocial need for acceptance?

In caring for a client with chronic kidney disease (CKD), the nurse notes that the client's serum phosphate level is elevated, with a converse decrease in serum calcium. Which nursing care goal is a priority, based on these laboratory findings?