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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  

While obtaining a blood pressure reading, the nurse knows which of the following may contribute to a false high reading.  

The nurse is preparing to pull a client up in bed with the assistance of another nurse. In what position would the nurse place the client?

Which physiologic response indicates the client is experiencing pain?