A nurse is teaching a client who requires maximal support about how to use a two-wheeled walker. Which of the following actions by the client indicates an understanding of teaching?

A nurse is preparing to palpate a client's systolic blood pressure using the brachial artery. After applying the blood pressure cuff to the client's arm, identify the sequence of steps the nurse should follow. (Arrange the steps, placing them in the order of performance. Use all the steps.)

A nurse is providing preoperative teaching to a client over the phone in preparation for outpatient surgery. Which of the following information should the nurse include in the teaching?

A nurse is providing instruction to a client who has diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is providing teaching to a client about the administration of clotrimazole vaginal suppositories.
Which of the following statements by the client indicates an understanding of the teaching?

A nurse in an acute care facility is preparing to transfer a client to a long-term care facility. Which of the following information should the nurse include in the hand-off report?

A nurse is caring for a client who has an ileostomy.
Nurses' Notes
Day 1:

• Client is alert and oriented.
• ileostomy stoma is pink.
• Stoma draining moderate brown liquid stool.
• Client will not look at the stoma.
• Client states they are not interested in learning about stoma care.
• Intake: 2,200 mL over the last 24 hr
• Urine output: 1,200 ml over the last 24 hr

Day 2:

• ileostomy pouch changed. Skin surrounding the stoma is reddened and appears irritated
• initiated a request for a referral to an ostomy nurse.
• intake. 1,600 mL over the last 24 hr
• Urine output: 650 mL over the last 24 hr

The nurse is reviewing the client's medical record. Select the information that requires intervention by the nurse.

A visitor reports to a nurse that she slipped and fell in a client's room. The visitor denies any injury, but is walking with a slight limp. Which of the following actions should the nurse take?

A nurse is caring for a client who consumes 3 ounces of milk, 2 ounces of orange juice, 3 ounces of tea, and 4 ounces of water over a 4-hour period. The client is also receiving dextrose 5% in 0.45% sodium chloride at a rate of 30 mL/hr by continuous IV infusion. Calculate the client’s intake for that 4-hr period in mL.

(Round the answer to the nearest whole number. Use a leading zero if it applies. DO not use a trailing zero.)

A nurse is assessing the visual acuity of a client who wears glasses using a Snellen chart. Which of the following actions should the nurse take?

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