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The nurse is caring for a client who has an ileostomy. Which nursing diagnosis has the highest priority for this client?

After the client was suctioned and received respiratory treatment, the UAP obtained vital signs for the client. Which vital sign value should the UAP report to the RN immediately (STAT)?

The nurse is planning discharge teaching for a 22-month-old toddler with febrile seizures. Which of the following statements about febrile seizures should be included in the discharge plan?

The spouse of a dying client contacts the nurse to report the client has been refusing food and fluid.  What response by the nurse is best?

The nurse is caring for a client who is to have a fecal occult blood test. What instruction will the nurse provide for this test?

The nurse on the neuro floor just took report of a 22-month-old child who was admitted an hour ago to the ED after a head injury. In the ED, the apical pulse was 94, BP was 108/62, respirations were irregular, with a rate of 22-28 per minute, with an O2 sat of 98%. Which of the following would the nurse do first upon admission?

Honey may be given to infants if parents or caregivers desire.

The nurse is presenting a program on healthy eating habits to the parents of children attending the clinic. Which parental comment indicates the need for more information about safe food preparation?

The nurse is caring for a child with sickle cell disease experiencing severe chest pain, fever, a cough, and dyspnea. What is the nurse’s priority action?

UFsu21  (This is an out-of-the-book question from Chapter 10.) Giving top managers of a company stock in the company is an attempt to overcome