A nurse is preparing to administer 2 units of packed RBCs to a client.

Which of the following actions should the nurse take?

A nurse is assessing a client who has a pressure ulcer.

Which of the following findings should the nurse expect as an indication the wound is healing?

A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless.

Which of the following assessments should the nurse perform first?

A nurse is caring for a client admitted with a skull fracture.

Which of the following assessment findings should be of greatest concern to the nurse?

A nurse is teaching a client about the use of an incentive spirometer.

Which of the following instructions should the nurse include in the teaching?

A nurse is assessing a client who is preoperative and reports an allergy to bananas.

The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances?

A nurse is planning care for a client who has full-thickness burns on the lower extremities.

Which of the following interventions should the nurse include?

A nurse is caring for a client who has chronic renal failure.

The client displays the following ABG results: pH 7.24, PaCO2 44 mm Hg, PaO2 84 mm Hg. HCO3 18 mEq/L, base excess -2, and O2 saturation 95%.

The nurse should conclude that the client has which of the following acid-base imbalances?

A nurse is assessing a client following the insertion of a central venous catheter.

Which of the following findings indicates a pneumothorax?

A nurse is providing teaching to a client who is receiving opioids for pain management.

Which of the following information should the nurse include in the teaching?

A nurse is preparing to administer naloxone 10 mcg/kg via IV bolus to a client who weighs 220 lb. The amount available is 0.4 mg/mL. How many mL should the nurse administer? (round off to the nearest tenth)