A nurse is caring for a client.

Exhibits

Complete the following sentence by using the list of options.

After notifying the provider, the nurse should first

and then

.

A nurse is providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina.

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

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?

While performing a routine assessment, a nurse notices fraying on the electrical cord of a client’s continuous passive motion (CPM) device.

Which of the following actions should the nurse take first?

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 is providing discharge teaching about home care of a surgical incision to a client who speaks a different language from the nurse.

The nurse is communicating with the client using an interpreter.

Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a parent of a 4-month-old infant during a home visit.

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

A nurse in an emergency department is caring for a client.

The nurse is preparing to discharge the client. Which of the following statements by the client indicate an understanding of the discharge teaching?

Select all that apply.

A nurse is caring for a client who has experienced a stillbirth. Which of the following actions should the nurse take during the initial grieving process?

A nurse is caring for a client in a clinic.

Exhibit 1 Exhibit 2.

Nurses' Notes.

0900:

A16-year-old client reports to the clinic with their caregiver. The client's caregiver informs the nurse that the client has "not been themselves lately." The client's parents and a sibling passed away from injuries sustained when a tornado moved through their town 1 month ago. They were the only survivor and witnessed their family's deaths.

0910:.

Client appears anxious but answers questions appropriately for age. They report experiencing nightmares that awaken them at night and startle easily during thunderstorm, but the client admits that they have always been afraid of thunderstorms. Client admits smoking marijuana for about 1 month because it helps clear their mind. They also admit that they have no desire to leave the house. They do attend school regularly and are on the honor roll.

Vital Signs.

0915:

Temperature 36.7° C (98° F).

BP 122/80 mm Hg Respiratory rate 20/min Heart rate 99/min.

Based on the information in the client's medical record, which of the following findings require immediate follow-up?

Select the 4 findings that require follow-up.

A nurse is caring for a client who has acute glomerulonephritis.

Which of the following findings should the nurse expect?