A nurse is assessing a postoperative patient with a Hemovac drain. Which of the following data should the nurse document to accurately reflect the drain’s output?
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A nurse is caring for a postoperative client with a Jackson-…
A nurse is caring for a postoperative client with a Jackson-Pratt (JP) drain in place. Which of the following findings should the nurse report to the provider immediately?
A nurse is caring for a client who had an appendectomy earli…
A nurse is caring for a client who had an appendectomy earlier in the day. After being NPO for surgery, the client now has bowel sounds and is passing flatus. Which food is appropriate for the nurse to serve to the client at this time?
A nurse observes the client experiencing severe dysphagia du…
A nurse observes the client experiencing severe dysphagia during a meal. The nurse notifies the provider. Which of the following nutritional therapies will likely be prescribed?
The nurse notices an alert and oriented client with diaphore…
The nurse notices an alert and oriented client with diaphoresis and a blood glucose of 62 mg/dL. Which of the following actions should the nurse take first?
A nurse has completed the Braden Scale on four clients who a…
A nurse has completed the Braden Scale on four clients who are at risk for alterations in skin integrity. Which of the following clients should the nurse recognize as having the greatest risk for developing a pressure injury?
The nurse plans to administer an intermittent bolus feeding…
The nurse plans to administer an intermittent bolus feeding to a client with a nasogastric tube that was inserted three days ago. Which of the following actions should the nurse perform first?
A nurse is preparing to infuse 1 liter of 0.9% sodium chlori…
A nurse is preparing to infuse 1 liter of 0.9% sodium chloride IV over 8 hr with a tubing set that delivers 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many drops/min? (Enter the number only. Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) [BLANK-1]
The nurse is teaching a client about a clear liquid diet. Wh…
The nurse is teaching a client about a clear liquid diet. Which group of foods chosen by the client indicates an understanding of clear liquid diet?
A nurse is assisting a client who has limited mobility with…
A nurse is assisting a client who has limited mobility with eating. Which of the following actions should the nurse take to promote independence and ensure client safety during the meal?