A nurse is reinforcing home safety instructions for a patient with a history of falls.
Which statement should the nurse identify as an indication that the patient understands the instructions?

A nurse has delegated the application of wrist restraints to an assistive personnel (AP) for a confused patient. The AP has padded the wrist restraints and secured the straps to the bed frame with a double knot.
What action should the nurse take?

A nurse is caring for a client who is receiving total parenteral nutrition (TPN) via an infusion pump. What factors should the nurse monitor when collecting data about the client receiving this therapy?

A nurse is caring for a school-age child with respiratory failure due to pneumonia. Which position should the nurse encourage to allow for maximal lung expansion?

A nurse is about to take a client’s oral temperature, but the client has just consumed some ice chips. What should the nurse do next?

A nurse is preparing to administer vitamin K intramuscularly to a newborn. Which of the following muscles should the nurse use for the injection?

A home health nurse is visiting a client who has COPD and is receiving oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing.What is the nurse’s priority action?

A nurse is reinforcing teaching about insulin injections with a client who is newly diagnosed with type I diabetes mellitus. What information should the nurse include about site selection? 

A nurse in a long-term care facility finds an older adult client lying on the floor next to the bed. What action should the nurse take?

Upon auscultating a client’s lungs, the nurse identifies crackles in the left posterior base. What action should the nurse take?

A nurse is preparing to administer amoxicillin 300 mg PO. The available medication is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer?