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A patient is responsive but confused and frequently pulls on their urinary catheter. The nurse observes obvious hematuria in the drainage bag and notes the presence of several blood clots in the tubing. How should the nurse document this situation?

The nurse is caring for a client with inflammatory bowel disease. Which action is appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)?

Which findings indicate that a client has developed water intoxication secondary to treatment for diabetes insipidus?

A nurse manager is explaining the use of incident reports to a group of nurses in orientation. Which of the following information should the nurse manager include?

A nursing student is assigned to care for a client with HIV. The student asks the staff nurse what precautions are necessary when measuring this client’s blood pressure. What is the best information to give the student?

A nurse is caring for a client diagnosed with bacterial meningitis. Which of the following assessments is the priority? 

A nurse is reinforcing preoperative teaching with a client who will undergo surgery to create a temporary colostomy. The client asks the nurse about the difference between colostomy and ileostomies. Which of the following responses should the nurse offer?

The client hands advance directives information back to the nurse and states, “I don’t need this. I am too young to worry about life-sustaining measures. Only old people die, that’s who needs this information. Which of the following actions should the nurse take?

A newly licensed nurse is preparing to insert an IV in a client. Which of the following sources should the nurse use to review the procedure and the standard at which it should be performed?

A client presents to the clinic with complaints of fatigue, weight gain, and cold intolerance. Upon assessment, the nurse notes dry skin and a slow heart rate. The nurse anticipates the provider will order which of the following laboratory tests?