The nurse is assessing tube feeding residual amounts and finds 10ml of residual.

The client is receiving 60ml/hr of feeding.

What action should the nurse take?

A nurse is admitting a client. Review the exhibits to answer the question.

For each potential provider's prescription, click to specify if the prescription is anticipated or contraindicated.

The nurse is about to administer 1 liter (1000 mL) of 0.9% NS over 2 hours intravenously to a patient in shock.

What rate should the nurse set on the infusion pump?

A nurse is assisting a postoperative client.

The client is alert and oriented to person, place, and time, and reports incisional pain of 9 on a scale of 1 to 10. Morphine 8 mg was administered subcutaneously as prescribed at 0900.

The client is now sleeping and is difficult to arouse.

Pupils are 3 mm, equal and reactive to light.

Temperature is 37.5 C (99.5°), respirations are 10/min, and pulse oximetry is 87% on room air.

Which documentation in the client’s medical record requires further action by the nurse?

A nurse is assisting with the plan of care for a client who is 1 day postoperative following spinal fusion.

Which of the following interventions should the nurse include in the plan?

The nurse is instructing the client on the correct way to take nitroglycerin as needed for chest pain.

Which is the correct instruction?

A client with a spinal cord injury is at risk for experiencing autonomic dysreflexia.

Which of the following manifestations should the nurse carefully monitor the client for?

A nurse is educating a patient newly diagnosed with iron deficiency anemia.

Which of the following would be a component of the education?

A nurse is explaining to a client who is preparing for emergency surgery due to a small bowel obstruction.

The client is anxious and doesn’t understand what the surgeon means by “adhesions” causing the blockage.

Which of the following statements is the best response from the nurse?

A nurse is assisting in the care of a client who has developed cardiogenic shock.

Which pulse site should the nurse use when assessing circulation to the client’s brain?

A patient arrives at the emergency department with a stab wound to the chest.

The healthcare provider places two chest tubes to drain air and blood from the patient’s thoracic cavity.

Where should the nurse place the system?