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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  

An unlicensed assistive personnel (UAP) floats to the surgical unit. Select which tasks would be appropriate to delegate to the UAP. Select all that apply.  

The nurse is conducting a health assessment. How will the information collected from the client be used?    

The nurse is caring for a client who has been newly diagnosed with diabetes. One of the outcomes in the client’s plan of care is: “Client will demonstrate correct technique for self-injecting insulin.” Prior to lunch, the nurse observed the client drew up and administered his insulin successfully. How should the nurse follow up this observation?