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The client’s medical record contains the following documentation: 01/05/2025 0200. Received client from the Emergency Department. BP 80/52, HR 118, R 24, T 104. Arouses to verbal stimuli but drifts off to sleep.  Normal saline infusing in left arm via 18-gauge intravenous catheter at 250 mL/h.  Urinary catheter draining scant dark amber urine.  O2 at 6 L/min via nasal cannula.  Lungs with coarse crackles at left base.  Loose cough present.  Pt unable to expectorate secretions. —Ann Davids, RN. Which type of charting has the nurse used?  

The nurse is caring for a client admitted with kidney stones and is straining the urine throughout the day.  Which of the following should be recorded as objective data?  

The nurse understands the importance of studying nursing theory because it:

Which of the following statement(s) accurately describes a recommended guideline for the implementation of nursing care? SELECT ALL THAT APPLY.    

The nurse recognizes the presence of smoke in a utility room. What would be the nurse’s first action?

The nurse has entered a client’s room to find the client tachycardic and flushed. What would be the priority intervention for the nurse at this time?

The nurse should utilize SBAR communication during which of the following clinical situations?    

A client who has been on bedrest is now permitted to get into a chair. The nurse demonstrates proper technique when transferring the client to the chair when:

The client is experiencing a great amount of pain following a surgical procedure. After assessing the client, the nurse determines a nursing diagnosis of Skin integrity, risk for impaired related to abdominal incision. The nurse plans to reposition the client every two hours while awake. This is an example of which type of intervention?

Two nurses collaborate in assessing an apical-radial pulse on a client. The pulse deficit is 16 beats/minute, indicating