Various sounds are heard when assessing a blood pressure. What does the second sound heard through the stethoscope represent?

A nurse is caring for a comatose patient and applies a hand and wrist roll in each hand of the patient to keep the thumb slightly adducted and correct position to the fingers. What is the primary purpose of this action?

Various sounds are heard when assessing a blood pressure. What does the second sound heard through the stethoscope represent?

The nurse is applying a wrist restraint on a client who has pulled out his IV multiple times. How should the nurse secure this device?

A nurse is ambulating a client who catches her foot on the bed frame and begins to fall. Which of the following is an accurate step to prevent or minimize damage from this fall?

A nurse is administering enoxaparin 40mg subcutaneous to a client for prevention of blood clots when the client suddenly moves causing the needle to exit the client’s tissue and stick the nurse’s finger. What is the nurse’s first priority action?

The nurse understands that sequential compression devices and compression stockings are used for which of the following?

A nurse is providing oral care to a client with dentures. What action would the nurse do first?

The unlicensed assistive personnel reports vital signs for a patient to the nurse: Oral Temperature of 99.2 degrees Fahrenheit. Radial pulse of 88 bpm and regular, Respirations of 18 bpm and regular, blood pressure supine in left arm of 178/112 mm Hg. and oxygen saturation of 95% on room air. Which vital sign should the nurse be most concerned about?

The nurse on the progressive care unit is preparing to perform a sterile wet to dry dressing change on a client with a sacral pressure ulcer. The nurse notes that the sterile saline at the bedside is marked as opened 48 hours ago. What is the nurse’s priority action?

The nurse is admitting a patient with a suspected tuberculosis infection. Which type of isolation should the nurse institute for this client?