After a long bed rest, a client with a Foley catheter and wrist restraints has repeatedly removed the antibiotic (G) tube and NG tube.
At checking the restraints, which action is most important for the nurse to take?

The nurse plans to encourage a group of young adult clients to engage in problem-solving strategies.
Which of the following is most useful for the nurse to include?

How should the nurse document the finding of pain, numbness, and tingling sensations in the lower legs?

The nurse observes the skin over a client's greater trochanter, as seen in the picture with pressure sores.
What actions should the nurse implement?

A client who is on complete bedrest frequently calls the nurse for the bedpan to urinate.
Which action should the nurse take to evaluate the client for urinary retention?

Which of the following responses would be the most therapeutic when communicating with a client who has recently had a visit from their significant other and is displaying changes in behavior?

An older woman with end-stage heart disease is hospitalized for severe heart failure. She is alert and requests that no heroic measures be implemented if her breathing stops.
What actions should the nurse take first?

The nurse is caring for a client who has only months predicted to live. The client avoids questions regarding plans for care.
What is the next approach for the nurse to use when discussing end of life issues with the client?

A client arrives at the emergency department (ED) with severe right upper quadrant pain.
To assess the quality of the client's pain, which approach should the nurse use?

The nurse is preparing to give an emergency sedative injection to an agitated client.
Which action by the nurse is inappropriate?

What equipment should the nurse use to most accurately measure a 2ml dose of a viscous liquid solution to be given orally?