A nurse in an acute care facility is reviewing medication administration protocol with another nurse. Which of the following information should the nurse include in the review?

A nurse is caring for a client who is in bed and begins experiencing a tonic-clonic seizure.

Which of the following actions should the nurse take?

1. Lower the side rails of the bed when the seizure begins.
2. Measure the duration of the seizure.
3. Restrain the client's arms and legs to prevent injury.

Insert an oral airway into the client's mouth.

A nurse is reinforcing teaching with a client who is postpartum about the measles, mumps, andrubella (MMR) vaccine.

Which of the following instructions should the nurse include in theteaching?

A nurse is assisting with the care of a client following electroconvulsive therapy for the treatment of a depressive disorder. Which of the following findings should the nurse expect 15 min following the procedure?

Admission Assessment Day 1, 1000:

An older adult client was transferred to the ICU after they developed fever and hypotension. The client was initially admitted 4 days ago with a left hip fracture and subsequently underwent total left hip arthroplasty. The client is alert and oriented to person, place, and time. The client's partner is at the bedside.

Past Medical History: hypertension, congestive heart failure, Parkinson's disease

Allergies: penicillin (anaphylaxis)

Social History: Client has visual loss but didn't bring their glasses. The client is hard of hearing.

Hearing aids in place.

Which of the following actions should the nurse take? Select all that apply.

A nurse is assisting in developing a list of internet sites for clients to obtain valid health information. When evaluating internet resources, which of the following findings indicates the information likely contains credible medical information?

A nurse is preparing to administer haloperidol 0.5 mg by mouth to an older adult client. The amount available is haloperidol oral concentrate 2 mg/mL. How many mL should the nurse administer?

(Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is to begin chemotherapy. The client asks the nurse about managing hair loss. Which of the following responses should the nurse make?

Read the information below.

• Client reports pain at surgical incision site as 5 on a scale of 0 to 10.
• Client reports bladder fullness. Perineal dressing intact with minimal serosanguinous drainage.
• Client transferring out of bed to chair independently.
• Extremities cool and dry with 2+ peripheral pulses.
• Client reports abdominal cramping and small, hard, painful bowel movement after lunch.
• Ambulating independently in hallway.
• Reports pain as 8 on a scale of 0 to 10, Urinary catheter intact with 100 mL/hr of pink urine.

A nurse is caring for a client who has peptic ulcer disease and is scheduled to undergo an esophagogastroduodenoscopy.

Which of the following actions should the nurse take prior to the procedure?

A nurse is reinforcing teaching with a client about the use of budesonide for asthma management.

Which of the following statements by the adolescent indicates an understanding of the teaching?