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A nurse is monitoring a patient whose condition is rapidly deteriorating. The patient is showing signs of respiratory distress but is still responsive and has a pulse. Which action should the nurse take next?

A patient who lacks decision-making capacity may be identified in the hospital setting by:

What does a pink “limb alert” band on a patient’s arm indicate?

The nurse auscultates the apical pulse in a 40-year-old patient and calculates 55 beats per minute. What does this finding indicate?

During clinical this semester, you are caring for Betty, a patient who was admitted to the hospital for pneumonia. When asking her orientation questions, she says, “My name is Betty, I’m in the hospital for pneumonia, and the year is 1955.” How should you document her level of consciousness?

A patient had knee surgery two days ago and the surgeon said the incision is “healing well.” Based on this statement, what type of exudate would the nurse expect to see when completing the patient’s dressing change?

Which of the following skin lesions would be most concerning to the nurse?

To obtain an apical pulse, the nurse should place the diaphragm of the stethoscope at the:

A nurse is caring for a patient with an acute change in level of consciousness (LOC). Which assessment finding is the nurse’s priority?

When providing incontinence care to his patient, a nursing student notices that the skin on the coccyx is reddened and does not blanch. What statement made by the student demonstrates an accurate interpretation on this finding?