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?

An accident arrives at the emergency department (ED) with severe right lower quadrant abdominal pain.
To assess the intensity of the client's pain, which approach should the nurse use?

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?

While teaching a client how to perform a skill, the nurse determines that the client is experiencing sensory overload and is unable to learn effectively.
Which action should the nurse implement?

A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?

Which descriptions of stool warrant additional follow-up by the nurse? (Select all that apply.).

The nurse is caring for a patient one week post-surgery.
Which finding should the nurse expect to see if the surgical incision is healing properly?

The nurse is preparing to administer Tylenol to a client admitted with urination issues who also has difficulty sleeping (OSA).
Which interaction is most important for the nurse to implement before leaving the client?

The nurse is teaching a client how to do active range of motion (ROM) exercises.
To exercise the hinge joints, which action should the nurse instruct the client to perform?

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?

A client who had emergency gallbladder surgery yesterday is getting ready to be discharged.
The nurse knows that the client speaks very little English. When teaching wound care, which method should the nurse use to evaluate the client's understanding of self-care at home?