A nurse in an emergency department is caring for a child who reports being sexually abused by a family member. Which of the following actions should the nurse take?

A nurse is providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make?

The nurse is assessing the client following the transfusion of 2 units of packed RBCs.

Click to highlight the findings that indicate improvement in the client's condition. To deselect a finding, click on the finding again.

Laboratory Results

1800:

WBC count 6,700/mm3 (5,000 to 10,000/mm3)

Hemoglobin 12 g/dL (14 to 18 g/dL)

Hematocrit 36% (40% to 52%)

Vital Signs

1800:

Blood pressure 112/74 mm Hg

Heart rate 95/min

Respiratory rate 18/min

Temperature 37.5°C (99.5° F)

Oxygen saturation 100% via 2 L/min nasal cannula

Assessment

1800:

Physical Exam:

General: no distress

HEENT: oropharynx clear, mucous membranes moist and pink

Respiratory: bilateral breath sounds clear

Gl: epigastric tenderness to palpation, no rebound tenderness or guarding Neuro: awake and alert

A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?

A nurse is preparing to insert an IV catheter for a client. Which of the following actions should the nurse plan to take?

A nurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is caring for a client.

A nurse is reviewing the client's electronic medical record. Which of the following findings require follow up? Select all that apply.

A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?

A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?

A nurse in an emergency department is caring for a client who has a closed head injury. Which of the following actions should the nurse take first?