A nurse is assessing a client who has right-sided heart failure.

Which of the following assessment findings should the nurse expect to find?

A nurse is reviewing the medical record of a client who is to undergo open heart surgery.

Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?

A nurse is preparing to administer 2 units of packed RBCs to a client.

Which of the following actions should the nurse take?

A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen.

Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?

A nurse is providing teaching to a client who is receiving opioids for pain management.

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

A nurse is monitoring a client who is receiving 2 units of packed RBCs.

Which of the following manifestations indicates a hemolytic transfusion reaction?

A nurse is assessing a client who has heart failure.

Which of the following client statements should indicate to the nurse that the client needs a referral for cardiac rehabilitation?

A nurse is caring for a client who has pancreatitis and has been receiving total parenteral nutrition.

Which of the following laboratory tests should the nurse monitor for overall nutritional status?

A nurse on a medical unit is planning care for a group of clients.

Which of the following clients should the nurse attend to first?

A nurse is assessing a client following the insertion of a central venous catheter.

Which of the following findings indicates a pneumothorax?

A nurse in the PACU is caring for a client.

Which of the following assessments is the nurse's priority?