A nurse is assisting with the plan of care for a 10-month-old infant who has HIV. Which of the following interventions should the nurse include in the plan?

A nurse is reinforcing teaching with a client who is postoperative following a laparoscopic cholecystectomy. Which of the following statements by the client indicates an understanding of the teaching?

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 reinforcing teaching about healthy lifestyle changes with a female client who has mild hypertension.

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

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.

Admission Assessment Day 1, 1000:

An older adult client was transferred to the ICU after they developed fever and hypotension. The client was initially admitted 4 days ago with a left hip fracture and subsequently underwent total left hip arthroplasty. The client is alert and oriented to person, place, and time. The client's partner is at the bedside.

Past Medical History: hypertension, congestive heart failure, Parkinson's disease

Allergies: penicillin (anaphylaxis)

Social History: Client has visual loss but didn't bring their glasses. The client is hard of hearing.

Hearing aids in place.

Which of the following actions should the nurse take? Select all that apply.

A nurse is assisting in the care of an older adult client who has COPD and is receiving albuterol treatments and 20 mg of prednisone twice daily. The client asks why the nurse is checking his blood glucose level.

Which of the following responses should the nurse make?

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 is assisting a client who has irritable bowel syndrome with meal selections.

Which of the following foods should the nurse remind the client to include in her diet?

A nurse is caring for a client who has peptic ulcer disease and is scheduled to undergo an esophagogastroduodenoscopy.

Which of the following actions should the nurse take prior to the procedure?

A nurse is reinforcing teaching about disease management with a client who has GERD.

Which of the following statements should the nurse make?