A nurse is conducting a health screening of a school-age child. The nurse should recognize which of the following as a risk factor for child maltreatment?

A nurse is caring for a client who wants to leave the facility against medical advice. In an attempt to prevent the client from leaving, an assistive personnel (AP) has hidden the client's car keys. Which of the following torts is the AP committing by hiding the client's car keys?

A nurse is caring for a client on a telemetry unit who denies chest pain and appears hemodynamically stable. While reviewing the client’s cardiac monitor strip, the nurse identifies several rhythm findings. Which finding requires immediate notification of the provider due to the possibility of acute myocardial injury?

A client is requesting information from a nurse about a nitrazine test. Which of the following statements should the nurse make?

A nurse is caring for a client at an outpatient clinic.

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

Nurses' Notes

3 months ago:

Middle-aged client reports experiencing fatigue for longer than 4 months.

Reports struggling to remember things and feeling depressed. Intermittent hand tremors reported and sudden episodes of leg weakness during ambulation, causing a loss of balance and gait changes. Intermittent episodes of muscle spasms started about a month ago. Reports no falls. Average work week is 40 hr in their family-owned business but has had to reduce work to 20 hr a week during "episodes" lasting about 4 days when manifestations worsen significantly. These episodes occur about once a month.

Client has 20/20 vision, but reports experiencing double vision "a couple of times." Last bowel movement was 1 day ago. Voids without difficulty but reports a feeling of "squeezing or spasm" in the genitourinary area that has only occurred a few times. No blood noted in urine.

Height 162.6 cm (64 in)

Weight 77.6 kg (171.1 lb)

BMI 29.3

Vital Signs

3 months ago:

Temperature 36.7° C (98.1° F)

Heart rate 84/min

Respiratory rate 16/min

Blood pressure 124/82 mm Hg

Oxygen saturation 97% on room air

A nurse is planning to administer 2 units of packed RBCs to an older adult client who has anemia. Which of the following actions should the nurse plan to take? (Select all that apply.)

The nurse is caring for a client.

Which of the following 4 orders or prescriptions should the nurse anticipate?
Select the 4 orders or prescriptions that the nurse should anticipate.

A nurse is caring for a client who is about to be discharged to a rehabilitation facility after knee surgery. Which of the following interventions should the nurse expect to find in the client's care plan?

A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests?

A nurse is planning care for a client who is at 31 weeks of gestation and has preeclampsia with severe features. The client has a new prescription for magnesium sulfate via continuous IV infusion. Which of the following actions should the nurse plan to take?

The nurse is caring for a client.

For each assessment finding, click to specify if the assessment finding is consistent with pulmonary embolism, pneumonia, or pneumothorax. Each finding may support more than one disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.