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The nurse observes a student who is listening to a patient’s lungs. Which action by the student indicates a need to review respiratory assessment skills?

Which interventions will the nurse plan for a comatose patient who will have targeted temperature management/therapeutic hypothermia? (Select all that apply.)

A patient scheduled to undergo total knee replacement surgery under general anesthesia asks the nurse, “Will the doctor put me to sleep with a mask over my face?” Which response by the nurse is most appropriate?

Which actions will the nurse include in the surgical time-out procedure before surgery (Select all that apply.)?

A patient who has begun to awaken after 30 minutes in the postanesthesia care unit (PACU) is restless and shouting at the nurse. The patient’s oxygen saturation is 96%, and recent laboratory results are all normal. Which action by the nurse is most appropriate?

When caring for a patient who has received a general anesthetic, the circulating nurse notes red, raised wheals on the patient’s arms. Which action should the nurse take?

In the postanesthesia care unit (PACU), a patient’s vital signs are blood pressure 116/72 mm Hg, pulse 74 beats/min, respirations 12 breaths/min, and SpO2 91%. The patient is sleepy but awakens easily. Which action should the nurse take first?

A patient with hypotension and an elevated temperature after working outside on a hot day is treated in the emergency department (ED). Which patient statement indicates to the nurse that discharge teaching has been effective?

A patient arrives in the emergency department (ED) several hours after taking “25 to 30” acetaminophen (Tylenol) tablets. Which action will the nurse plan to take?

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