The nurse is inserting an indwelling urinary catheter for a male client. As the catheter is inserted into the
urethra, urine begins to flow into the tubing. When should the nurse inflate the balloon?

The nurse is inserting an indwelling urinary catheter for a male client. As the catheter is inserted into the
urethra, urine begins to flow into the tubing. When should the nurse inflate the balloon?

The nurse is teaching a patient with a new ostomy about skin care to preserve tissue integrity. What teaching will the nurse provide about cleansing the ostomy area?

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 54-year-old man is participating in occupational therapy following a strokecausing right-sided weakness. What level of health promotion is being exhibited?

A patient has an order for Normal Saline 1000 mL to infuse over 3 hours. The medication will be infused with an IV pump.

How many mL/h should the IV pump be programmed for?

The nurse performed an assessment on a patient's upper extremities. All findings were within normal limits. Which reflects the most accurate and complete terminology used when documenting these normal results?

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

A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, the dietitian informs the group that there are six classes of nutrients, and three supply the body with energy. Which of the following are the three energy-supplying nutrients?

A nurse is taking action and performing interventions in the nursing process to provide care for patients in a
busy hospital setting. Which nursing actions best represent this step in the nursing process? Select all that apply.

The nurse is caring for a client with moderate vision loss. Which intervention would be most appropriate for this client?