A child has experienced several episodes of vomiting.

After the nurse reviews the need to provide only clear liquids, the parent of the child reports making clear liquid popsicles out of flavored gelatin for the child.

Which information should the nurse obtain about the popsicles?

A nurse stops at a motor vehicle collision to provide help for a victim who is trapped in an overturned running vehicle.

The nurse turns off the engine key, and asks the client to wiggle the fingers because the client’s head is impinged on the roof and the neck is bent to the left shoulder.

After Emergency Medical Services (EMS) arrive, the nurse reports that the victim is conscious, but is not able to talk, and then the nurse leaves the scene.

Which legal action can be taken in this situation?

A client with chronic fecal incontinence is crying because of being embarrassed for not getting to the bathroom in time to avoid soiling the bed and clothing.
When establishing a bowel training regimen, which intervention should the nurse implement?

The nurse observes the unlicensed assistive personnel (UAP) securing a client’s wrist restraints to the bedside rails. Which action is most important for the nurse to implement?

The nurse is interviewing a client with lower abdominal pain and dysuria, and needs to the client about sexual activity.
Which approach is best for the nurse to use?

A client with a family history of cardiac disease is seeking information to control risk factors. Which lifestyle modification is most important for the nurse to encourage?

The nurse is caring for a client who is postoperative and receiving supplemental oxygen at 2 L/minute via nasal cannula.
The oxygen saturation is 89%. Which action should the nurse implement?

The nurse is demonstrating three-point gait crutch walking to an older adult client who broke a foot while playing soccer with the grandchildren.
Which behavior indicates that the client understands proper crutch walking?

When assuming care of a client at 1900, the nurse learns in report that a client with a urinary tract infection had an indwelling urinary catheter removed during the previous shift.
Which information is most important for the nurse to obtain?

The healthcare provider prescribes a 24-hour urine specimen to be collected for creatinine clearance. The client is eager to go home and tells the nurse that the first sample was put in the urinal 2 hours ago. Which action should the nurse implement?

The nurse observes a newly employed unlicensed assistive personnel (UAP) checking the temperature of an adult client using a tympanic thermometer.
The UAP pulls the client’s auricle up and back and prepares to insert the thermometer. Which action should the nurse implement?