The nurse is performing an assessment and taking a history of a client. Which finding should be immediately reported to the health care provider?
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When caring for a client who is using Buck’s traction after…
When caring for a client who is using Buck’s traction after a hip fracture, which action can the nurse delegate to unlicensed assistive personnel (UAP)?
An 80-year old client is receiving palliative care for heart…
An 80-year old client is receiving palliative care for heart failure. Which of the following are the primary purposes of receiving palliative care? (Select all that apply)
As the nurse admits a client in end-stage renal disease to t…
As the nurse admits a client in end-stage renal disease to the hospital, the client tells the nurse, “If my heart or breathing stop, I do not want to be resuscitated.” Which action should the nurse take first?
The nurse is developing a plan of care for a client whose sc…
The nurse is developing a plan of care for a client whose scheduled surgery will last approximately 3 hours. Which of the following intraoperative nursing interventions should the nurse prioritize?
The day after a having a right below-the-knee amputation, a…
The day after a having a right below-the-knee amputation, a client complains of pain in the missing right foot. Which action is most important for the nurse to take first?
The nurse completes a physical assessment on a client that i…
The nurse completes a physical assessment on a client that is receiving hospice care. The family asks what physical manifestations indicate end-of-life? Which assessment findings would you include in your teaching to the family? Select all that apply.
Which actions will the nurse include in the surgical time-ou…
Which actions will the nurse include in the surgical time-out procedure before anesthesia? Select all that apply.
The nurse suggests that a client recently diagnosed with rhe…
The nurse suggests that a client recently diagnosed with rheumatoid arthritis (RA) plan to start each day with which of the following?
The nurse is assessing a new adult client. What characterist…
The nurse is assessing a new adult client. What characteristic of this client’s status should the nurse identify as increasing the client’s risk for glaucoma?