A nurse is caring for a client.

Exhibit 1 Vital Signs 0800: Exhibit 2 Temperature 37.6° C (99.7° F) Blood pressure 108/56 mm Hg Heart rate 66/min Respiratory rate 18/min Pulse oximetry 97% on room air 0830: Temperature 37.5° C (99.5° F) Blood pressure 88/56 mm Hg Heart rate 104/min Respiratory rate 24/min Pulse oximetry 93% on room air Select the 4 findings that require immediate follow-up.

A nurse is preparing to administer an injection to a client.

Which of the following actions should the nurse plan to take after administering the injection?

When reviewing the medical record of a client who asks about the use of magnet therapy for pain relief, which of the following findings is a contraindication for receiving this type of therapy?

A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr.

Which of the following actions should the nurse take first?

A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse and is scheduled for surgery.

Which of the following actions should the nurse take?

A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 220 Ib.

How many mg should the nurse administer? (Round the answer to the nearest whole number.

Use a leading zero if it applies. Do not use a trailing zero.).

A nurse is caring for a client who had a stroke and requires assistance with morning ADLs.

Which of the following interprofessional team members should the nurse consult?

A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids.

Which of the following foods should the nurse offer the client as a part of a full liquid diet?

A nurse is preparing to insert an IV catheter for a client following a right mastectomy.

Which of the following veins should the nurse select when initiating IV therapy?

A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?

A nurse is providing teaching to a client who is at risk for thrombus formation.

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