The nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. What action is the nurse’s highest priority?
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The nurse is teaching a client scheduled for a colonoscopy o…
The nurse is teaching a client scheduled for a colonoscopy on pre- and post-procedure care. Which statement by the client indicates the need for further teaching?
When asked about allergies, the preoperative client tells th…
When asked about allergies, the preoperative client tells the nurse she has allergies to all of the following substances. Which allergy alerts the nurse to potential problems in relation to the scheduled surgery?
What measure should the nurse implement to enhance the effec…
What measure should the nurse implement to enhance the effectiveness of an antianxiety drug?
The nurse is caring for a client who has a continuous bladde…
The nurse is caring for a client who has a continuous bladder irrigation running following a prostatectomy. During the shift, a total of 1500 mL of irrigation is used to irrigate the bladder. The Foley bag is emptied twice for the shift with totals of 850 mL and 950 mL. What is the client’s actual urine output for the shift?
A nurse is providing teaching to a CNA about caring for clie…
A nurse is providing teaching to a CNA about caring for clients with restraints. Which action by the CNA indicates the need for the nurse to intervene?
The nurse visits an elderly patient who is bedridden at home…
The nurse visits an elderly patient who is bedridden at home following abdominal surgery. The nurse observes that the patient has a donut-type device under her buttocks. What information should the nurse tell the caregiver about the device?
The nurse is preparing an educational program for the family…
The nurse is preparing an educational program for the family of a client with Alzheimer’s disease who is ready for discharge. Which intervention should the nurse focus on to reduce the client’s risk for injury?
A client with type 1 diabetes has received diet instruction…
A client with type 1 diabetes has received diet instruction as a part of his treatment plan. Which statement by the client would indicate the need for additional instruction?
An adult male was recently admitted to the psychiatric unit….
An adult male was recently admitted to the psychiatric unit. The nurse observes his perceptions are distorted and he appears to be experiencing generalized panic. What intervention would be appropriate for this client?