A nurse is caring for a client who is receiving continuous enteral feeding via NG tube.

Which of the following is an unexpected finding?

A nurse is teaching a group of newly licensed nurses about the Braden scale.

Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?

A nurse is caring for a client who reports that she has insomnia.

Which of the following interventions is appropriate for the nurse to recommend?

A nurse is caring for a client who has a new diagnosis of terminal cancer.

Which of the following interventions is the priority?

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 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.

What findings should the nurse expect when assessing an older adult client?

A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, "I trust my doctor, but I don't understand what is meant by resecting my intestines."

Which of the following actions should the nurse take?

A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test.

Which of the following findings should indicate to the nurse that the client has hyperglycemia?

A nurse is planning care for a client who is concerned about her tobacco smoking habits and is in the contemplation stage of health behavior change.

Which of the following actions should the nurse plan to take during this stage?

A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions.

Which of the following is an appropriate action to include in the plan of care?