The nurse is teaching the unlicensed assistive personnel (UAP) about safety when caring for clients with limited movement. Which action by the UAP indicates to the nurse that the UAP understands the information?

A client's spouse has just learned of the client's terminal illness. The spouse is sitting in the corner of the client's room crying, and says to the nurse. "I feel as if I'm already so alone." Which action should the nurse take first?

An adult client has been hospitalized for the past three weeks due to complications experienced following elective surgery. When the client's condition first began to deteriorate, the client's spouse reminded the healthcare provider (HCP) that the client has a living will explaining the desire for a natural death. The HCP does not agree with the client's living will and refuses to honor it. Which action should the nurse take?

The nurse observes an unlicensed assistive personnel (UAP) who is providing a total bed bath for a confused and lethargic client. The UAP is soaking the client's foot in a basin of warm water placed on the bed. Which action should the nurse take?

 A client requests heat therapy for lower back pain. Which action should the nurse take?

 During transfer to the medical unit, a client who experienced an acute change in level of consciousness became increasingly confused and combative, justifying soft wrist restraints for the client's upper and lower extremities. Which intervention is most important for the nurse to implement on admission?

A male client has right-sided hemiplegia following a left cerebrovascular accident (CVA). His sitting balance has improved, and he is now able to sit in a wheelchair. To assist the client in transferring from the bed to a wheelchair, which action should the nurse take?

The charge nurse is observing a new nurse administering care during new hire orientation at the hospital. Which activity by the new nurse indicates correct body movement and posture to reduce the risk for injury?

atient Data

The nurse reviews the H and P and nurses' note.

Complete the diagram by dragging from the choices area to specify which condition the family is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess family coping.

While measuring vital signs, the nurse observes that a client is using accessory neck muscles during respirations. Which follow- up action should the nurse take first?

The healthcare provider prescribes epoetin alfa 8,200 units subcutaneously for a client with chronic kidney disease (CKD). The 2 ml mutidose vial is labeled, "Each 1 mL of solution contains 10,000 units of epoetin alfa." How many mL should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth).