A nurse is assisting a client who has cancer to select high-protein foods.

Which of the following foods should the nurse recommend as the highest source of protein?

A nurse is reinforcing teaching about laboratory testing with a client.

Which of the following findings should the nurse include as an indicator of infection?

A nurse in an acute care facility is reviewing medication administration protocol with another nurse. Which of the following information should the nurse include in the review?

A nurse is collecting data from a client who is taking tranylcypromine and reports ingestion of tyramine-rich foods.

The nurse should monitor the client for which of the following findings as an adverse effect of this medication?

A nurse is reviewing the plan of care for a group of clients.

The nurse should identify that informed consent is required for which of the following procedures?

A nurse is caring for a client who has HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?

A nurse is assisting in the care of a client. Nurses' Notes 2000:

Client presents to emergency department and states, "I have been assaulted." Client was immediately placed in a treatment room.

2015:

"Client states they were out with friends this evening and had "a little too much to drink." Client states that they fell asleep at their friend's house and when they woke up all of their clothes were off and their genitals were sore. The client states, "I think someone had sex with me, but I don't remember anything." Client reports history of depression. Client is a full-time college student who lives with roommates. Client admits to drinking socially but denies illicit drug use and tobacco use.

Which of the following interventions should the nurse plan to implement?

Select all that apply.

A nurse is completing documentation in the medical record about a client who fell on the floor. Which of the following statements should the nurse include in the documentation?

A nurse is caring for a client who is to begin chemotherapy. The client asks the nurse about managing hair loss. Which of the following responses should the nurse make?

Oxygen at 1 to 2 L/min. The nurse should ensure that the client has which of the following supplies upon discharge?

A nurse on a mental health unit is caring for a client who is in restraints. Which of the following actions should the nurse take?

1. Release the client's restraints every 4 hr.
2. Check the client's status every hour.
3. Document the client's behavior leading to the initiation of the restraints.

Obtain written consent by the client for the placement of the restraints.