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When the nurse is educating the client, which plan would be best to promote urinary elimination? 

The nurse observes that client’s abdomen is firm and distended. Which assessment is most important for the nurse to perform?

S: 33-year-old female client with a 2-day history of feeling unwell has come to the emergency department today. She has been experiencing general fatigue, aches, chills, and decreased appetite over the past two days. In the last 12 hours, she has had new onset of shortness of breath with exertion, fever, and frequent cough productive of small amounts of yellow sputum. A Chest X-ray is completed which shows pneumonia in the right lung. B: Client is a healthy adult with no past medical history. A: T 102.6 F, HR 116, RR 28, BP 114/76, SpO2 88% on Room Air. Client is alert & oriented x4, mildly anxious, with increased work of breathing, and a flushed appearance. Crackles are auscultated in the right lung, left lung sounds are clear. Radial and pedal pulses are strong, she has no peripheral edema. R: What would the expected outcome be for this patient? Choose one of the options provided in the parentheses.  Patient maintains optimal gas exchange as evidenced by __________ (clear lungs sounds in the right lung, maintaining respiratory rate of 12-20, maintaining an oxygen saturation of 92% or higher) by discharge. _______

The nurse is completing the preoperative checklist for a client who is scheduled for surgery. Documented assessment findings include blood pressure 130/74, heart rate 90. respiratory rate 18, and temperature 101F. Collaboration with which health care provider is necessary?

During oxygen administration to the client, which piece of equipment would enable the nurse to regulate the amount of oxygen delivered? 

A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major surgery. Which of the following is the nurse’s priority action? 

An anxious client is admitted to the emergency department (ED) after having a fender bender in the campus parking lot.  The clients respiratory rate is 36 and the client complains of feeling dizzy and lightheaded.  What is the priority nursing action? 

Match the item to the type of transmission. 

S: 86-year-old female who is post-op day 3 following left femur fracture repair. The patient has been on bedrest since surgery. Progressive ambulation has been ordered to start today. The patient has a walker available in the home and would prefer to utilize that in the hospital setting so they are ambulating with the device before discharge. Physical therapy has been ordered and they will see the patient later today for an initial assessment.   B: Client’s Primary medical history includes Hypothyroidism, Hypertension, Gastrointestinal esophageal regurgitation disorder. The client has not had a bowel movement postoperatively even after being compliant with ordered stool softener administration twice daily.  A: T 97.2 F, HR 88, RR 16, BP 110/72; SPO2 96% on RA. Client is alert and oriented x4. Moves all extremities. Pupils are equal and reactive to light. Bilateral lungs are clear on auscultation. Moderate abdominal distention is present, bowel sounds are hypoactive in all quadrants. Capillary refill

The nurse  performs oral suctioning on the client, which action related to the procedure is correct?