A nurse is collecting data from a client who is expressing suicidal ideations. Which of the following questions is the nurse's priority?

A charge nurse is reinforcing teaching with a newly licensed nurse about infection control measures. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is assisting in the care of a client. Nurses' Notes 2000:

Client presents to emergency department and states, "I have been assaulted." Client was immediately placed in a treatment room.

2015:

"Client states they were out with friends this evening and had "a little too much to drink." Client states that they fell asleep at their friend's house and when they woke up all of their clothes were off and their genitals were sore. The client states, "I think someone had sex with me, but I don't remember anything." Client reports history of depression. Client is a full-time college student who lives with roommates. Client admits to drinking socially but denies illicit drug use and tobacco use.

Which of the following interventions should the nurse plan to implement?

Select all that apply.

A nurse is caring for a client who has bipolar disorder. The client yells at the nurse whenevermedication changes are prescribed by the client's provider.

The nurse should identify that theclient is using which of the following defense mechanisms?

A nurse is reinforcing teaching with a client who has a new prescription for enoxaparin. The nurse should identify which of the following over-the- counter products as unsafe for use with enoxaparin?

A nurse is reviewing client confidentiality with other staff members.

The nurse should identify that which of the following actions is an example of protecting client confidentiality?

A nurse is reinforcing teaching with a client about advance directives and a health care proxy.

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

A nurse in a provider's office is caring for a group of clients who have communicable diseases. Which of the following infections should the nurse report to the state health department?

Read the information below.

• Client reports pain at surgical incision site as 5 on a scale of 0 to 10.
• Client reports bladder fullness. Perineal dressing intact with minimal serosanguinous drainage.
• Client transferring out of bed to chair independently.
• Extremities cool and dry with 2+ peripheral pulses.
• Client reports abdominal cramping and small, hard, painful bowel movement after lunch.
• Ambulating independently in hallway.
• Reports pain as 8 on a scale of 0 to 10, Urinary catheter intact with 100 mL/hr of pink urine.

A nurse is caring for a client who is taking multiple medications and asks about possible interactions. To which of the following members of the interdisciplinary team should the nurse make a referral?

A nurse is reviewing the guidelines for documenting client care.

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