A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is caring for a client.

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is at risk for developing 

A nurse is caring for an adolescent client who is preparing for their first pelvic examination. Which of the following techniques should the nurse use to explain the procedure?

A nurse is preparing to obtain a health history from a newly admitted client. Which of the following information should the nurse expect to include?

A nurse is leading an in-service about legal issues. Which of the following examples should the nurse use to demonstrate an incidence of negligence?

A nurse is teaching a client about fire safety at home. Which of the following information should the nurse include in the teaching?

A nurse caring for a client who has a prescription for morphine 5 mg IM accidentally administers the whole 10 mg from the single-dose vial. Which of the following actions should the nurse take first?

A nurse on a medical-surgical unit is admitting a client.

Click to highlight the action that would be appropriate for the care of the client. Each body system may support more than 1 potential action. To deselect an action, click on the action again.

A staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on clients who are confused. Which of the following instructions should the staff nurse include?

A charge nurse on an acute care unit is planning care for a client. Which of the following actions should the nurse take to promote the client's continuity of care?

A nurse is caring for an older adult client newly admitted to the medical unit.

Click to highlight the pieces of information that indicate the client is at risk for falls. To deselect a piece of information, click on that piece of information again.

Nurses' Notes

1000:

An older adult client admitted following a fall down approximately five steps. Client's partner reports client possibly hit their head and was a little disoriented for a minute or two. Client states, "I feel fine. I just slipped." Client has a history of falls and orthostatic hypotension per client's partner. Client uses a walker and wears rubber-soled slippers at home. Client ordered new glasses following an eye exam last week but has not received them yet. Partner states they both do exercises that focus on coordination, three times per week.

Vital Signs

1000:

Temperature 37° C (98.6° F)

Heart rate 72/min Respiratory rate 20/min

Blood pressure

Lying: 130/90 mm Hg

Sitting: 128/88 mm Hg

Standing: 98/60 mm Hg

Oxygen saturation 97% on room air