An adult client was put in restraints after all other attempts to reduce aggression have failed. Which is required now that restraints have been instituted by the nurse?

A nurse is performing safety assessments on a client in mechanical restraints as required by policy. Which action by the nurse demonstrates the ethical principle of nonmaleficence?

The order is to infuse 50ml of piggyback antibiotic over 1 hour. The set calibration has a microdrip drop factor. What the flow rate in drops per minute?

A nurse assesses a confused older adult. The nurse experiences sadness and reflects, “The patient is like one of my grandparents… so helpless.” What feelings does the nurse describe?

The nurse is sitting down with a client to begin a conversation. Which position will the nurse take to convey acceptance of the client?

The nurse is caring for a group of clients in the mental health outpatient clinic. Which client is most likely to be mandated by a criminal court for outpatient treatment?

A nurse working on a psychiatric unit receives a telephone call from a client’s employer requesting a copy of the client’s psychological evaluation results. Based on the nurse’s knowledge of breach of confidentiality, which response would be appropriate?

When is a nurse legally obligated to breach confidentiality?

A client diagnosed with end-stage kidney injury receives continuous ambulatory peritoneal dialysis (CAPD). The nurse observes that the dialysate drainage fluid is cloudy. What is the priority intervention?

The client has used defensive communicating with the nurse today. Which can be a positive outcome from the use of defense mechanisms?

A nurse is caring for a patient in acute renal failure who develops muscle weakness and an irregular heart rhythm. The provider prescribes an IV infusion of hypertonic glucose, regular insulin, and sodium bicarbonate. The nurse recognizes that these treatments are intended to manage which of the following complications?