Author: Anonymous

The nurse is providing ileostomy care and notes the following: pale stoma, collecting pouch filled with greenish liquid stool and large amount of flatus, and a reddened area under the adhesive of the appliance. Which assessment finding should the nurse report immediately? 

The home health nurse is caring for an elderly patient who states, “I am so afraid of getting sick. My spouse died after getting a cold.” Which suggestion will the nurse make to help the patient maintain good respiratory health?

The home health nurse is caring for an elderly patient who states, “I am so afraid of getting sick. My spouse died after getting a cold.” Which suggestion will the nurse make to help the patient maintain good respiratory health?

The patient with a history of constipation, hyperlipidemia, and obesity asks the nurse, “What is the best foods for me to add in my diet?” What is the best response by the nurse? Select all that Apply.

When preparing for medication administration, how many checks does the nurse recalls as being essential to deliver medication safely?  

A hospitalized patient has an order for subcutaneous heparin. What is the best technique to administer this medication?

The nurse prepares to assess a patient. Which action(s) should the nurse take to complete the process of active listening? Select all that apply.

Which vitamin does the nurse identify as interfering with a patient’s anticoagulant?

A student nurse encounters an unresponsive patient in a waiting room.  The patient is not breathing and has no pulse or respirations.  What is the next step the student nurse should take?

While reviewing laboratory values, the student notes a patient’s digoxin level is increased. Which action should the nurse take regarding the patient’s scheduled dose of digoxin?