Upon auscultating a client's lungs, the nurse notes there is a low-pitched, continuous respiratory sound that has a snoring quality. How should the nurse interpret and document the findings?

A nurse in the outpatient clinic is caring for a client with a serum calcium level of 7.5 mg/dL (8.5-10.2 mg/dL). What nursing intervention is most important when providing care for this client? (Select All That Apply).

The nurse in the trauma unit has received a report on a client who has multiple injuries as a result of a motor vehicle crash. Which action should the nurse plan to take first?

While conducting a focused neurological assessment, the nurse includes testing the function of cranial nerve XI in a client. What assessment findings indicate the nerve is intact and functioning?

A nurse has been assigned four patients of which one of the patients is completely immobile. Which complication should the nurse expect as a result of immobility? (Select all that apply.)

The nurse receives four clients in the emergency department from triage at the same time. Which client requires the nurse's immediate attention?

A client with an inability to read billboards while driving, arrives to the clinic for an eye examination. Which piece of equipment would the nurse use to evaluate the client's distant vision?

The nurse is caring for a client who is admitted to the medical-surgical unit for gastrointestinal disorders. While conducting a focused assessment, the nurse prepares to lightly palpate the client's abdomen. Which part of the hand should the nurse use?

A nurse is caring for a patient in the endocrinologist outpatient clinic.

When completing the assessment at 0810, which of the findings listed below would require a follow-up by the nurse?

Click to highlight the statements in the assessment findings that require follow-up by the nurse.

• Axillary temperature 100.5° F
• Heart rate 105/min
• Respiratory rate 18/min

The client is 34 years of age. States she has a bowel movement after every meal, heat intolerance, and nervousness. The client has lost 20 pounds in the last month without dieting or a change in physical activity. She exercises 4-5 times per week for 45 minutes at a time. States at times during exercise, she experiences irregular heartbeat.

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

The nurse performs an admission assessment on a client admitted with chest pain. The nurse knows that using the bell of the stethoscope is appropriate to auscultate for which type of sounds?