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 caring for a client who states "I just don't feel ready to go home." The nurse replies, "you don't feel ready to go home today?" Which type of interviewing technique is the nurse using to enhance communication with the client?

Codeine 15 mg IM q4h is ordered. Codeine is available in a vial containing 30 mg/mL. How many mL will the nurse administer?

For which of the following clients should the nurse anticipate the need for a pureed diet?

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?

While reading a physician's progress notes a student notes that an assigned client is having hypoxia. What abnormal assessments would the student expect to find?

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 nurse touches a patient's hand to indicate caring and support. What channel of communication is the nurse using within Berlo's Model of Communication?

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

A patient tells their nurse "I am scared about my surgery tomorrow". The nurse's response to the patient is "everything will be fine, you have nothing to worry about". This comment by the nurse would be considered which type of communication block?

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?