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The nurse on the evening shift in a hospital is caring for a confused client. Which is the most effective nursing intervention to decrease risk of falls at night?    

The client is off the unit having a procedure done and will not return for at least an hour. A family member is agitated that they missed the client and would like to know the diagnosis. The nurse’s best course of action is to  

Which of the following is a correctly written and measurable desired outcome?  

The home health nurse is formulating a teaching plan for a client whose immune system is compromised. The plan includes  

Upon auscultation of a client’s heart rate, the nurse notes the rate to have an irregular pattern of 72 beats/minute. The nurse notifies the primary care provider and includes which in the plan of care?

The nurse has an order to obtain orthostatic blood pressure for a client who recently returned from surgery. Which of the following indicates orthostatic hypotension?  

When documenting on a client with a diagnosis of colon cancer, which of the following would be appropriate documentation of subjective findings? Select all that apply. The client  

The nurse prepares to obtain blood pressure on a client who returned from the recovery room following left hip replacement. Intravenous fluids are infusing in the client’s right arm. The nurse knows the most appropriate action to take is to

A young adult woman has had orthopedic surgery on her right knee. Vital signs are: T 98.8° F, P 58, R 12 BP 110/76. The nurse correctly identifies the abnormal findings as which of the following?  

When teaching a client about home blood pressure monitoring, the nurse includes