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A patient arrives at the emergency department stumbling and staggering while saying, “Something is wrong. I just don’t feel right.” Which observation causes the nurse to suspect the patient is experiencing a stroke?

A nurse provides care to a patient who is lethargic and unable to tolerate standing for long periods. The patient has dyspnea on exertion. Which type of bath is best for the nurse to implement with this patient?

A nurse is taking care of a morbidly obese patient admitted for control of diabetes. The patient requires assistance to transfer from the bed to a chair. Which is the best option for the nurse to use when assisting the patient to transfer?

A nurse manager is making rounds on the medical unit and comes across two nurses holding onto a patient who has fainted in the patient’s room. Which priority action should the nurse manager take?

A patient lies in a special type of bed frame that allows the entire bed to turn from side to side. The mattress is low air loss, and the bed can be programmed to turn by degrees at set intervals. Which term would the nurse use when documenting information about this bed in the patient’s medical record?

A nurse is reviewing body defense mechanisms against infection. Which finding represents a secondary defense?

A patient has been diagnosed with septicemia, a condition in which microorganisms are present and multiplying in the blood. A nurse identifies this condition as what?

A nurse is receiving a postoperative appendectomy patient from the recovery room to the surgical care unit. Which type of bed should the nurse use to prepare for the patient’s arrival?

A nurse is caring for a postoperative patient who had a surgical repair of an abdominal hernia and has a history of chronic pulmonary obstructive disease (COPD). Which is the best position for the nurse to place the patient in to facilitate respiratory expansion?

A nurse is providing a.m. care to a patient and finds an erythematous area near the sacrum that has scratch marks on the skin. The skin is intact. How should the nurse document this finding?