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The nurse has observed a staff member tell a client with bipolar disorder that there will be consequences for making negative comments about conditions in the facility. When the nurse meets privately with the staff member, which of the following statements would be most appropriate for the nurse to make to the staff member?
A nurse is caring for a client in the critical care unit who is complaining of chest pain. Nursing assessment reveals a blood pressure of 78/40, shortness of breath, and third-degree AV block on the heart monitor. What is the most appropriate initial action?
An 18-year-old client with osteogenesis imperfecta is being seen for a routine visit. Which information obtained during the visit would cause the nurse the most concern?
The nurse in a labor room is performing a vaginal assessment on a pregnant client in labor. The nurse notes the presence of the umbilical cord protruding from the vagina. What is the first nursing action with this finding?
The nurse is instructing a patient scheduled for abdominal surgery on the use of a flow-metered incentive spirometer. Which instruction should the nurse include in the teaching plan?
The nurse is assisting a client with diverticulosis to select appropriate foods. Which food should the client avoid?
A client's admission history reveals complaints of fatigue, chronic sore throat, and enlarged lymph nodes in the axilla and neck. Which exam would assist the physician in making a tentative diagnosis of leukemia?
A 5-year-old child has lactose intolerance. The nurse tells the mother that it is necessary to provide which dietary supplement in the child's diet?
Which information should be given to a client who is using a TENS (transcutaneous electrical nerve stimulation) unit?
A client with a total knee replacement has a continuous passive motion (CPM) device applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?
A nurse is observing a local softball game when one of the players is hit in the nose with a ball. The player's nose is visibly deformed and bleeding. The best way for the nurse to control the bleeding is to:
Which action by the healthcare worker indicates a need for further teaching regarding infection control and standard precautions?
The nurse calculates the IV flow rate for a patient receiving lactated Ringer's solution. The patient is to receive 2000 mL of Lactated Ringer's over 36 hours. The IV infusion set has a drop factor of 15 drops per milliliter. The nurse should set the IV to deliver how many drops per minute?
Nurse Melai is planning for a child to have a roommate during hospitalization. The nurse should realize that a child at this developmental level (school-age girl) will most likely:
The intensive care unit is full, and the emergency room just called in a report on a ventilator-dependent client who is being admitted to the medical-surgical unit. It would be essential that the nurse have which piece of equipment at the client's bedside?
Your patient has just received his sixth outpatient electroconvulsive therapy (ECT) treatment. He tells you that he plans to drive himself home because his wife is working at her part-time job today. What is your best response?
The nurse is caring for a patient with the following lab values: Creatinine 2.5 mg/dL, WBC 11,000 cells/mL, and Hemoglobin 12 g/dL. Based on this information, which of the following ordered tests/treatments would the nurse question?
Which of the following patients is at risk for depression?
In planning care for the patient with ulcerative colitis, the nurse identifies which nursing diagnosis as a priority?
The nurse is assessing a client who is 2 hours post-operative from a total knee replacement. Which finding requires notification of the physician?