Author: Anonymous

The nurse just finished ambulating a client. Compare the admission vital signs to the current vital signs after ambulation.  Indicate whether the change in vital signs is “concerning” or “not concerning”. For your answer, check only the boxes that would be “concerning”   Client Chart   Admission Vital Signs Current Vital Signs Temperature 97.8˚ oral 98.2˚ oral Pulse 68    pm 78    pm Respirations 16 20 Blood pressure 118/68 148/72 O2 saturation 96% 92%

A client is on isolation because she acquired a methicillin-resistant S. aureus (MRSA) infection during hospitalization. What name is given to this type of infection?

Convert 8:46 pm to military time.                                      

The nurse is making an occupied bed. Which is the most important nursing action?  

The nurse is caring for a client who just had chest surgery. Which is the most specific assessment related to this type of surgery?  

The nurse has delegated oral care for an unconscious client to an unlicensed assistive personnel (UAP). Which action by the UAP requires immediate intervention by the nurse?  

Which of the following statements is correct when educating unlicensed assistive personnel (UAP) to obtain a temperature?  

The unlicensed assistive personnel (UAP) is making hourly rounds on the surgical unit and a client requests a glass of water. Which of the following should the UAP do?  

Which action is most appropriate when cleansing a client’s eye while performing a bed bath?

The client’s venous ulcer has become reddened with purulent drainage. The nurse has ascertained from her assessment that the client was confused about how to properly change the dressing and has been reusing bandages. Utilizing the subjective information presented, which response tells the nurse the client requires more education? Client states