The nurse is documenting an assessment that was completed at 9:30 p.m. The facility uses military time for documentation. What entry should the nurse make for the time care was given?

The home health nurse is caring for an older adult client living alone at home who is incontinent of urine and changes the adult diaper (pad) daily. The nurse plans care based on which nursing concern?

client scheduled for open heart surgery tells the nurse he does not want to be "saved" if he dies during surgery. What should the nurse do next?

The following foods are a part of a client's daily diet: high-fiber cereals, fruits, vegetables, ten 8-oz glasses (2,500 mL) of fluids. What would the nurse tell the client to change?

Although all of the following are factors that affect grief, which one is most likely to influence a person's expression of grief?

The nurse is completing a sterile dressing change on a confused client. During the procedure, the client reaches down and touches the contents of the open dressing kit. What is the nurse's next action?

The telemetry unit nurse is reviewing laboratory results for a client who is scheduled for an operative procedure later in the day. The nurse notes on the laboratory report that the client has a serum potassium level of 6.5 mEq/L (6.5 mmol/L), indicative of hyperkalemia. The nurse informs the health care provider of this laboratory result because the nurse recognizes hyperkalemia increases the client's operative risk for:

A client has had a breast removed to treat cancer. What type of loss will the client likely experience?

Why is acute pain said to be protective in nature?

The nurse determines that the student who has been instructed about lung function and smoking requires additional teaching when the student says

An older adult client is brought to the emergency department via ambulance due to a fall. The client does not speak the area's dominant language. Shortly after the client arrives, several family members and a neighbor who called the ambulance arrive, all of whom speak the area's dominant language. When attempting to gather information about what happened, which action by the nurse is appropriate?