A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?

A nurse is planning care for a toddler who has epiglottitis.

Which of the following interventions should the nurse include?

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 is caring for a client who repeatedly refuses meals.

The nurse overhears an assistive personnel (AP) telling the client, “If you don’t eat, I’ll put restraints on your wrists and feed you.” The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?

A nurse is caring for an adolescent who has hyperthermia.

Which of the following actions should the nurse take?

A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?

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

Which of the following findings should the nurse expect?

A nurse is caring for a client who is in a coma and is scheduled for a surgical procedure.

Which of the following actions should the nurse take?

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 obtaining a client’s manual blood pressure and is having difficulty auscultating sounds.

Which of the following actions should the nurse take?

nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching?