A nurse is assessing a child who has bacterial pneumonia.

Which of the following manifestations should the nurse expect?

A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation.

Which of the following statements should the nurse make?

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 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 obtaining a client’s manual blood pressure and is having difficulty auscultating sounds.

Which of the following actions should the nurse take?

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 a prescription for 1 unit of packed RBCs. Five minutes after beginning the transfusion, the client becomes febrile with chills. After stopping the transfusion, which of the following actions should the nurse take?

A nurse is receiving change-of-shift report for a group of clients.

Which of the following clients should the nurse plan to assess first?

A nurse inadvertently administers 160 mg of valsartan PO to a client who was scheduled to receive 80 mg.

Which of the following actions is the priority for the nurse to take?

A nurse is providing discharge teaching to the partner of a client who has a tracheostomy.

Which of the following information should the nurse include in the teaching

A nurse is caring for an adolescent client who has cystic fibrosis. Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage?