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The nurse is teaching an unlicensed assistive personnel (UAP) about fire safety. Which UAP statement requires immediate nursing intervention?

A client has an axillary temperature of 102.6 F (39.2°C). Which clinical manifestations would the nurse anticipate? Select all that apply.

While assessing a patient, the nurse notes that the pulse is easily detected, feels strong, and regular and has even beats with moderate force. How should the nurse document this pulse?

A patient accidentally receives an entire liter of IV fluid over 3 hours. Which should the nurse expect when assessing this patient’s pulse?

In which situation should a nurse assess vital signs instead of delegating it to unlicensed assistive personnel (UAP)? Select all that apply.

A nurse applies wrist restraints to a patient. Which actions indicate appropriate technique? Select all that apply.

A nurse is assessing a client’s body temperature. The nurse could obtain an accurate body temperature at the oral site for a client:

A nurse is caring for a client with orthostatic hypotension. Which nursing interventions are appropriate to decrease the risk of falls? Select all that apply.

When assessing an adult client’s pulse at 125 beats/min, which step would the nurse take first to determine intervention?

An appropriate environmental nursing intervention for a patient with respiratory congestion is to: