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A nurse is caring for a client with moderate major neurocognitive disorder due to Alzheimer’s disease in a long-term care facility. The client becomes anxious when routines change, occasionally forgets how to complete basic tasks such as dressing, and sometimes becomes frustrated when unable to find words. The nurse is developing interventions to promote safety, reduce confusion, and support functional independence. Which nursing interventions are appropriate for this client?Select all that apply.

Question: A patient who had an open reduction and internal fixation (ORIF) of a left lower leg fracture continues to report severe pain 20 minutes after IV morphine. Pulses are faintly palpable, and the foot is cool. Which action would the nurse take next? 

Question: A patient is hospitalized with active tuberculosis (TB). Which assessment finding indicates to the nurse that prescribed airborne precautions are likely to be discontinued? 

Question: A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for continued mechanical ventilation. How would the nurse interpret the following arterial blood gas results: pH 7.48, PaO2 85 mm Hg, PaCO2 32 mm Hg, and HCO3 25 mEq/L? 

An older adult hospitalized for pneumonia becomes suddenly disoriented, attempts to remove the IV line, and reports seeing insects crawling on the wall. Symptoms fluctuate throughout the day. Which nursing action is the priority implementation?

Question: After completing the health history, how would the nurse begin to assess the musculoskeletal system? 

Question: The nurse teaches a patient about the transmission of pulmonary tuberculosis (TB). Which statement by the patient indicates that teaching was effective? 

Question: The nurse notes crackling sounds and a grating sensation with palpation of an older patient’s elbow. How would this finding be documented? 

A nurse is assessing an older adult client who lives alone and has recently experienced several falls and increasing confusion. Which finding should increase the nurse’s suspicion of possible alcohol misuse?

For most people, in which hemisphere is the general interpretative center for language and mathematical calculation found?