A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)

A charge nurse is teaching a newly licensed nurse about health care-associated infections (HAIs). Which of the following should the nurse include in the teaching as examples of HAIS?

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

A nurse is admitting a client who requests not to be intubated or have any other life saving measures initiated. Which of the following actions should the nurse take?

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

A nurse is caring for a client in the emergency department.

Click to highlight the findings in the transfer report that require immediate action by the nurse when the client arrives.

The client complains of fatigue, vertigo, and shortness of breath with daily activities.

Current vital signs are: blood pressure 86/46 mm Hg, pulse rate 100/min, respiratory rate 28/min. Oxygen saturation 94% on 2 L via nasal cannula. Client has an 18 g capped IV in the right antecubital space. There is a new prescription for 0.9% sodium chloride at 125 mL/hr. There is also a prescription for the transfusion of 2 units of packed RBCs; the first unit has been ordered from the blood bank. Oxygen is to be titrated to maintain an oxygen saturation of 92%.

A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which of the following is the priority action for the nurse to take?

A nurse is caring for a client on a medical-surgical unit.

A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. Click to highlight the findings below that the nurse should report to the provider.

Nurses' Notes

Oxygen saturation 95%. The client's voice is hoarse.

The client reports tingling around the mouth.

Moderate serosanguinous drainage noted on neck dressing. The client has a slight tremor noted in both hands.

The client's temperature has increased in 1 hr from 37.5° C (99.5° F) to 38.6° C (101.5° F). The client appears restless.

An infection control nurse is teaching a class about transmission of infectious agents. The nurse should include that which of the following diseases is transmitted via airborne transmission?

A nurse is caring for a 20-year-old client who has a fever and reports severe headache.

A nurse is preparing the client for a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.