A nurse is teaching a prenatal class about infection prevention at a community center.

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

A nurse inadvertently administers 160 mg of valsartan PO to a client who was scheduled to receive 80 mg.

Which of the following actions is the priority for the nurse to take?

A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited.

Which of the following actions should the nurse perform first?

A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis.

Which of the following actions should the nurse include in the plan of care?

A nurse is caring for a client in a clinic.

Exhibit 1 Exhibit 2.

Nurses' Notes.

0900:

A16-year-old client reports to the clinic with their caregiver. The client's caregiver informs the nurse that the client has "not been themselves lately." The client's parents and a sibling passed away from injuries sustained when a tornado moved through their town 1 month ago. They were the only survivor and witnessed their family's deaths.

0910:.

Client appears anxious but answers questions appropriately for age. They report experiencing nightmares that awaken them at night and startle easily during thunderstorm, but the client admits that they have always been afraid of thunderstorms. Client admits smoking marijuana for about 1 month because it helps clear their mind. They also admit that they have no desire to leave the house. They do attend school regularly and are on the honor roll.

Vital Signs.

0915:

Temperature 36.7° C (98° F).

BP 122/80 mm Hg Respiratory rate 20/min Heart rate 99/min.

Based on the information in the client's medical record, which of the following findings require immediate follow-up?

Select the 4 findings that require follow-up.

A nurse is assisting with food selection for a client who follows kosher dietary traditions.

Which of the following food choices should the nurse include on the client’s food tray?

A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis.

Which of the following instructions should the nurse include?

A nurse is providing information for a client who has a new prescription for simvastatin. For which of the following should the nurse instruct the client to monitor and report to the provider?

A nurse is caring for a client who has cancer and is terminally ill.

The client reports feeling depressed.

Which of the following statements should the nurse make?

A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?

A nurse is reviewing the laboratory data of a client who received 2 units of packed RBCs.

Which of the following laboratory findings should the nurse expect following the transfusion?