A nurse is performing a physical assessment of a patient who is experiencing fluid volume excess. Upon examination of the patient's legs, the nurse documents: Pitting edema; 8-mm pit. Pit remained for 4 minutes after pressing. What grade of edema has this nurse documented?

A nurse is managing a patient's fluids and outputs over a shift. Here are the details:

• 0700: The nurse starts an IV of 0.45% Normal saline infusing at 100 mL/hr.
• 0900: The patient has coffee-ground emesis (vomit) measuring 300 mL.
• 1000: The nurse stops the IV of 0.45% Normal saline to administer an IV antibiotic. The antibiotic administered is Kefzol 1 g in 25 mL of D5W over 30 minutes.
• 1030: The antibiotic infusion stops, and the nurse resumes the IV fluid of 0.45% Normal saline at 100 mL/hr.
• 1100: The physician orders the insertion of an NG tube and intermittent suction. The nurse inserts the NG tube and connects it to intermittent suction.
• 1530: The patient voids another 350 mL and 200 mL. The nurse checks the NG tube canister and records the output for the shift as 300 mL.

Calculate the patient's total intake from 0700 to 1530.

While caring for a female patient with advanced multiple sclerosis, the nurse is discussing the difference between hospice and palliative care. Which statement by the patient indicates understanding of the difference between hospice care and palliative care?

A nurse is caring for a client with a wound on the lower extremity. What findings would the nurse observe that would indicate a wound infection?

A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, the dietitian informs the group that there are six classes of nutrients, and three supply the body with energy. Which of the following are the three energy supplying nutrients?

A nurse is assessing a patient and notes that the patient is experiencing hypoxia.
Which of the following patient signs would indicate that the patient has hypoxia? Select all that apply.

Which of the following is the best example of a measurable client goal? The clientwill:

An obese client is visiting a medical clinic seeking advice on ways to eat healthy and lose weight. The nurse should recommend which of the following to be included in the client's diet?

A nurse notes that a client is confused, impulsive, and unstable with mobility. The nurse fears the client is in danger of harming themselves so they ask for a sitter to stay at the bedside to keep the client company and minimize the risk for falls. What ethical principle is the nurse demonstrating?

A student nurse is performing a urinary catheterization for the first time and inadvertently contaminates the  catheter by touching the bed linens. What should the nurse do to maintain surgical asepsis for this procedure? 

What would be the best way for nurses to develop an awareness of their own culture and bias?