The nurse provides care to a toddler-age client and prescribed catheterization to obtain a urine specimen. Which procedure does the nurse implement? (Select all that apply)

The nurse plans care for a client who reports avoiding people because of having scabies and difficulty walking. Which statement does the nurse document as the client's greatest concern?

A client diagnosed with a bilateral hearing impairment seeks medical attention for an acute health problem. Which approach does the nurse use to enhance communication with this client?

The nurse provides care to a toddler-age client and prescribed catheterization to obtain a urine specimen. Which procedure does the nurse implement? (Select all that apply)

The nurse omits to document an assessment finding that resulted in a significant client injury. For which legal issue does the nurse need to prepare?

The nurse provides care for a client recovering from a motor vehicle crash. For which sign of fluid volume overload does the nurse measure the client's intake and output? (Select all that apply)

A bed-bound chart has a prescription for routine urinalysis. In which way does the nurse obtain the urine sample for the laboratory?

A client recovering from surgery sits in a chair for breakfast. Which action does the nurse take before applying newly prescribed anti-embolism stockings to the client's lower extremities?

The emergency department (ED) triage nurse receives a report from emergency medical services (EMS) on an older adult client being brought to the ED via EMS. After receiving the report, the nurse reviews the client’s electronic medical record (EMR) for history and the most recent medication list.

15:45: Client transferred to ED Bed 5 via stretcher by EMS. The client's spouse is at the bedside. Client states "I feel so much better now, except for my wrist is really hurting." Advised will assess then check with the ED physician about something for the pain. VS BP 112/68, HR 99, RR 20, T 98.4° F (36.9° C), SpO2 96% on room air. The client is alert and oriented (A&O) x 4, pleasant, and cooperative. PERRLA, skin intact with no bruising except for dorsal left forearm and wrist which is ecchymotic and edematous. Radial pulses strong and equal (+3), fingers warm with capillary refill < 3 sec. Lungs are clear, abdomen soft with bowel sounds x 4 quadrants, pedal pulses (+) x 4, and no pedal edema.

The nurse assesses the client and reviews the orders from the ED physician, gathers supplies to draw the lab work, starts the IV, and administers the morphine IVP.

Select the supplies the nurse gathers (Select all that apply.)

The emergency department (ED) triage nurse receives a report from emergency medical services (EMS) on an older adult client being brought to the ED via EMS. After receiving the report, the nurse reviews the client's electronic medical record (EMR) for history and the most recent medication list.

1635: Most recent entry from a visit to primary care provider 5 days ago. Vital signs were BP 164/90, HR 96, RR 20, T 96.7°F (35.9°C), and SpO2 96% on room air. Past Medical History (PMH) positive for osteoporosis, a history of ovarian cancer treated with a hysterectomy and chemotherapy 16 years ago, hypercholesterolemia, and hypertension being managed with diet and exercise. During this recent visit, the client was started on hydrochlorothiazide (HCTZ) 12.5 mg, 1 tablet PO every AM. No Known Drug Allergies (NKDA). Additional home medications include:

• Atorvastatin 20 mg PO, 1 tablet every PM
• Calcium 1000 mg, 1 tablet PO BID
• multi-vitamin, 1 capsule PO every AM

The nurse obtained the bloodwork, started the IV, and administered morphine IV push.

> Complete the following sentence:

The nurse's highest priority is planning care knowing that the client is at risk for seizures due to

A family member tells the nurse, "I overheard a caregiver threaten my uncle." The family member said the caregiver remarked, "If you don't learn to calm down, I will have to restrain you." Based on this information, which criminal offense does the nurse communicate to the nurse manager?