A nurse is caring for a school-age child who is 2 hr postoperative following cardiac catheterization.

The nurse observes blood on the child’s dressing.

Which of the following actions should the nurse take?

A nurse is caring for a client

A nurse is reviewing the client's electronic medical record. Which of the following findings requires follow-up?

Select all that apply.

A staff nurse is observing a newly licensed nurse suction a client’s tracheostomy.
Which of the following actions by the newly licensed nurse requires intervention by the staff nurse?

A nurse is reviewing the laboratory data of a client who received 2 units of packed RBCs. Which of the following laboratory findings should the nurse expect following the transfusion?

A nurse is preparing to administer a medication that is available in a glass ampule.

Which of the following actions should the nurse plan to take?

A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?

A nurse is caring for an older adult client

Adult child accompanying parent reports cognitive and physical decline in the client, expressing concern over memory loss, thought processes, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that might help, but it has not. I found the title to the car today, signed over to me."

Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression

Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom." Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month

1030:.

Client found sitting in waiting room, head in hands. Client says, "Why don't you just leave me? I am of no use.”

Vital Signs 0945:.

Temperature 37.7° C (99.9° F) Heart rate 68/min

Respiratory rate 16/min BP 136/80 mm Hg

Oxygen saturation 100% on room air

Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.

A nurse in an emergency department is caring for a client who has a closed head injury. Which of the following actions should the nurse take first?

A nurse is caring for a client who has a prescription for a peripheral IV catheter.
After puncturing the skin with the vascular access device and noting a blood return in the flashback chamber, which of the following actions should the nurse perform next?

A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period.
Which of the following instructions should the nurse include?

A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include?