A nurse is teaching a group of newly licensed nurses about client advocacy. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

A nurse is preparing to initiate intravenous fluids via infusion pump for a client. Which of the following actions should the nurse take?

A nurse is caring for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take?

A nurse is caring for a client who is in labor and receiving oxytocin. The electronic fetal monitor indicates contractions every 50 seconds, lasting 2 min and late decelerations. Which of the following actions should the nurse take?

A nurse is collaborating with social services in the discharge planning for a young adult client who is below the poverty income level and will require home IV therapy. Which of the following resources should the nurse recommend? (Select all that apply)

A nurse on a postpartum unit is caring for a client.

Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.

Vital Signs:

• Postpartum day 3. 0815:
• Temperature 38.2° C (100.8° F)
• Heart rate 104/min
• Respiratory rate 18/min
• BP 108/70 mm Hg
• SaO2 97% on room air

Nurses' Notes:

• Postpartum day 3, 0815:
• Client reports feeling unwell
• Lung sounds clear but diminished in the bases.
• Client states breasts feel firm, heavy, and warm with moderate nipple discomfort while breastfeeding.
• Uterus firm at 1 cm above the umbillous and tender to palpation.
• Fundus boggy but firmed with massage
• Moderate amount of dark brown, foul-smelling lochia noted.
• Surgical incision well approximated with slight edema present no redness or drainage noted.
• No bowel movement since birth, hypoactive bowel sounds.

Diagnostic Results:

• Postpartum day 3, 0900:
• Hemoglobin 11.1 g/dL (greater than 11 g/dL)
• WBC count 33,000/mm³ (5,000 to 10,000/mm³)

The nurse has reviewed the Provider Prescriptions at 1600.

A nurse manager on an interprofessional team is creating a disaster plan. The nurse should include in the plan that which of the following actions is the responsibility of the unit nurse during a disaster?

A nurse is caring for a 9-year-old child at a clinic.The nurse reviews the assessment findings.

Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.

Assessment

Respirations easy and unlabored. Abdomen non-distended. Right forearm and fingers are edematous. Ecchymotic area noted on outer aspect of the forearm. Radial pulse +2. Fingers slightly cool to touch. Child can move fingers and reports a mild "tingling" sensation. Child verbalizesa pain level of 4 on a scale of 0 to 10. Multiple areas of bruising are noted on lower extremities in various stages of healing.

Vital Signs

• Temperature 36.8° C (98.2° F)
• Heart rate 102/min, Respiratory rate 22/min
• BP 100/60 mm Hg
• Oxygen saturation 98% on room air

A nurse is providing teaching to a client who has otitis media and is 1 hr postoperative following a myringotomy. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who has type 1 diabetes mellitus. The client reports that she is not feeling well. Which of the following findings should indicate to the nurse that the client is hypoglycemic? (Select all that apply)