What times should the nurse measure vital signs? Select all that apply.

The nurse plans to use the Situation, Background, Assessment, and Recommendation (SBAR) format of communication during which interaction?

A child has experienced several episodes of vomiting.

After the nurse reviews the need to provide only clear liquids, the parent of the child reports making clear liquid popsicles out of flavored gelatin for the child.

Which information should the nurse obtain about the popsicles?

The healthcare provider prescribes streptomycin 200 mg IM every 12 hours.

The vial is labeled, “Streptomycin 1 gram/25.”. How many milliliters should the nurse administer? (Enter numerical value only.

If rounding is required, round to the nearest tenth.) 

The nurse is caring for a client with type 2 diabetes mellitus who had surgery for a large bowel resection with a colostomy placement.

The client has now developed hyperglycemia which requires self-injections of insulin after discharge. When designing the postoperative plan of care, which outcome statement should the nurse use?

The nurse is preparing to administer lorazepam 1.5 mg IV to an anxious preoperative client. The medication is available in a 2 mg/mL vial.

Which action should the nurse perform with the remainder of the medication?

A nurse is reviewing a client’s orders and notes the following: Vital signs every 4 hours, regular diet, Cefazolin 1g IV every 8 hours for 5 days, Metformin 1,000 mg PO every 12 hours, and point of care blood glucose check every 4 hours.

Which action should the nurse take?

A client who had emergency gallbladder surgery yesterday is getting ready for discharge. The client speaks very little English.

When teaching wound care, which method should the nurse use to evaluate the client’s understanding of self-care at home?

The client had a large, loose stool.

Vital signs: Temperature 98.7°F (37°C) orally. Heart rate 73 beats/minute.

Blood pressure 144/82 mm Hg. The client had a large, loose stool. The client had a large, loose stool.

Place the client on contact precautions.

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take, and two parameters to assess the client’s progress.

An unlicensed assistive personnel (UAP) is assigned to feed a client who has received a prescription to institute droplet precautions for a bacterial meningitis infection.

The UAP requests a change in assignment, reporting having not yet been fitted for a particulate filter mask. Which action should the nurse take?

The nurse is viewing the admission assessment of a client with chronic pain.

What intervention(s) should the nurse include in the client’s plan of care? Select all that apply.