A nurse in an emergency department is caring for a client following a motor-vehicle crash.

The client’s Glasgow coma scale rating is 15.

Which of the following findings should the nurse expect

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 in an emergency department is caring for a client. Nurses' Notes.

1200:.

Client is an 82-year-old male who presents with his adult child for evaluation of right arm pain after a fall. Client noted to have several superficial abrasions on right forearm and elbow. Also has numerous bruises in various stages of healing on arms and upper chest. Client rates pain in right lower forearm an 8 on a 0 to 10 pain scale and is not moving the arm.

1210:.

Client noted to keep head down and makes limited eye contact. Speaks very softly and looks at adult child before answering interview questions. Has strong body odor and clothes are unclean. Client's adult child answers most questions. Client grimacing and guarding right arm.

Client weighed, is 56.2 kg (124 lb) and 175 cm (69 in) tall. BMI 18.3.

1230:.

Client's adult child left facility to go home and get the client’s prescribed medications. Client visibly more relaxed and now speaking more openly to staff with improved eye contact. Client reports that he has lived with his adult child for the past several.

Vital Signs. 1200:.

Temperature 36.7° C (98° F). Heart rate 96/min.

Blood pressure 142/96 mm Hg. Respiratory rate 16/min.

SpO2 97% on room air.

The nurse is preparing to speak to the facility's Social Worker about the client's condition.

Select the 5 findings the nurse should plan to include in the report.

A nurse is caring for a client who has an implanted venous access port.

Which of the following should the nurse use to access the port?

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 caring for a client who has a prescription for a peripheral IV catheter.

After puncturing the skin with the vascular access device and noting a blood return in the flashback chamber, which of the following actions should the nurse perform next?

A nurse is performing a skin assessment on a client who has dark skin.

Which of the following locations on the client’s body should the nurse observe to assess for cyanosis?

A nurse is caring for a client who reports a headache and has a history of a peptic ulcer. Which of the following medications should the nurse administer?

A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible.

Which of the following is an appropriate action by the nurse?

A nurse in an emergency department is assessing an adolescent who has conduct disorder.

Which of the following questions is the priority for the nurse to ask the client?

A quality control nurse is reviewing medication prescriptions for a group of clients.

Which of the following medication prescriptions should the nurse identify as being complete?