A nurse is admitting an adolescent who has rubella.

Which of the following actions should the nurse take?

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?

A nurse is teaching a prenatal class about infection prevention at a community center.

Which of the following statements by a client indicates an understanding of the teaching

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 manager on an interprofessional team is creating a disaster plan. The nurse should include in the plan that which of the following actions is the responsibility of the unit nurse during a disaster?

While performing a routine assessment, a nurse notices fraying on the electrical cord of a client’s continuous passive motion (CPM) device.

Which of the following actions should the nurse take first?

A nurse is admitting a client who has schizophrenia.

The client states, “I’m hearing voices.” Which of the following responses is the priority for the nurse to state?

A nurse is caring for a client whose partner recently died.

The nurse sits with the client to provide comfort.

Which of the following ethical principles is the nurse demonstrating?

A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis.

Which of the following actions should the nurse include in the plan of care?

A charge nurse is teaching a newly licensed nurse about the facility’s computerized documentation system.

Which of the following information should the nurse include?

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