The nurse is caring for a young adult patient with asthma who states; “My chest feels tight and I can’t take a deep breath.” Assessment reveals an SaO2 of 95%. What will the nurse do next?
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The nurse is caring for a patient who is taking fluticasone….
The nurse is caring for a patient who is taking fluticasone. Assessment reveals excoriated lesions with white exudate on the tongue and buccal mucosa. What is the nurse’s best action?
A nurse is caring for a patient with arteriosclerosis. Which…
A nurse is caring for a patient with arteriosclerosis. Which of the following is the priority nursing intervention?
The nurse assess a client during tracheostomy suctioning. W…
The nurse assess a client during tracheostomy suctioning. Which finding indicates that the procedure should be stopped?
The nurse assesses the Tuberculin skin test (TST) site of a…
The nurse assesses the Tuberculin skin test (TST) site of a patient with HIV, 50 hours after the injection was placed. There is an area of induration measuring 8 millimeters at the site. What is the best nursing action?
Which will the nurse include in teaching a patient with newl…
Which will the nurse include in teaching a patient with newly diagnoses active pulmonary tuberculosis (TB) infection?
The nurse is caring for a patient who has returned from surg…
The nurse is caring for a patient who has returned from surgery 30 minutes ago. The family tells the nurse that the patient needs pain medication. Prior to administering the opioid analgesic, the nurse performs an assessment and notes the capnography monitor reveals a lower than normal reading. What is the best nursing action?
A 68 year old woman states that she does not want a flu shot…
A 68 year old woman states that she does not want a flu shot this September, because “I hate getting shots and besides, I just had a flu shot last December.” What is the nurse’s best response?”
The nurse assesses a client who is receiving oxygen via a no…
The nurse assesses a client who is receiving oxygen via a non-rebreather mask. Which assessment finding does the nurse intervene to correct?
The nurse is caring for a patient on a medical floor who is…
The nurse is caring for a patient on a medical floor who is receiving oxygen via a non-rebreather mask. The patient is using accessory muscles to breath and has an oxygen saturation of 88% per pulse oximeter. What is the best nursing action?