A nurse is preparing to insert an IV catheter for a client following a right mastectomy.

Which of the following veins should the nurse select when initiating IV therapy?

A nurse is caring for a client.

Vital Signs

0800:

• Temperature 37.6° C (99.7° F)
• Blood pressure 108/56 mm Hg
• Heart rate 66/min
• Respiratory rate 18/min
• Pulse oximetry 97% on room air

0830:

• Temperature 37.5° C (99.5° F)
• Blood pressure 88/56 mm Hg
• Heart rate 104/min
• Respiratory rate 24/min
• Pulse oximetry 93% on room air

Select the 4 findings that require immediate follow-up.

A nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses on her toes.

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

A nurse is caring for a client.

Exhibit 1 Nurses' Notes Day 1: Exhibit 2 Exhibit 3 Client reports fatigue, weight loss, night sweats, and a persistent cough.

Performed a purified protein derivative test on the client and obtained a QuantiFERON-TB Gold blood test as prescribed.

Bilateral breath sounds with crackles and scattered wheezes throughout.

Cough productive for yellow, purulent sputum.

What are the first two actions the nurse should take?

A nurse is preparing to administer medication to a client. Which of the following should the nurse use as a client identifier?

A nurse is teaching a client how to self-administer daily low-dose heparin injections.

Which of the following factors is most likely to increase the client's motivation to learn?

A nurse is caring for a client who has tuberculosis.

Which of the following precautions should the nurse plan to implement when working with the client?

A nurse is caring for a client.

What are the first two actions the nurse should take?

A nurse is documenting client care.

Which of the following abbreviations should the nurse use?

When reviewing the medical record of a client who asks about the use of magnet therapy for pain relief, which of the following findings is a contraindication for receiving this type of therapy?

A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?