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 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?

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

A nurse is preparing to administer a controlled substance to a client for pain management.

Which of the following actions should the nurse take?

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?

A home health nurse is teaching a client about home safety.

Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.).

How should the nurse record the net fluid intake for a client who received 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization?

A nurse is preparing to administer several medications via NG tube to a client who is receiving continuous tube feeding.

Which of the following actions should the nurse take?

A nurse is caring for a client who has tuberculosis.

Which of the following precautions should the nurse plan to implement when working with the client?

A nurse is caring for a client.

Exhibit 1 Nurses' Notes Day 1: Exhibit 2 Exhibit 3 Client reports fatigue, weight loss, night sweats, and a persistent cough.

Performed a purified protein derivative test on the client and obtained a QuantiFERON-TB Gold blood test as prescribed.

Bilateral breath sounds with crackles and scattered wheezes throughout.

Cough productive for yellow, purulent sputum.

What are the first two actions the nurse should take?