The nurse is obtaining morning vital signs and assessing a 64 year old female client who was admitted with community acquired pneumonia over night. The client is sleeping in supine position, however, she is easily arousable, alert and oriented, and reports no complaints at this time. The client's vital signs are: blood pressure 132/68, heart rate 88 beats per minute, respiratory rate 24 breaths per minute. O2 saturation 87% on 2L nasal cannula oxygen. What is the nurse's first priority action?

A nurse has received an order to suction a patient's endotracheal tube. Which action is most appropriate when performing this intervention?

In caring for a client experiencing acute hypoxia, the nurse should prepare interventions to help the client for what other condition?

A nurse is feeding a patient who is experiencing dysphagia and requires thickened liquids to prevent from aspirating. Which nursing consideration would be a priority for the nurse to initiate while feeding this patient on a dysphagia diet with thickened liquids?

A client is on bedrest, and an enema has been ordered. In what position should the nurse position the client?

Codeine 15 mg IM q4h is ordered. Codeine is available in a vial containing 30 mg/mL. How many mL will the nurse administer?

A nurse is gathering assessment data on a new patient at the clinic for a yearly physical assessment. The patient is a 55-year-old Hispanic obese male. Patient states his father died at age 52 of a heart attack. During the interview, the patient states they have a desk job and sits all day, eats mostly fast- food, and traditional foods high in fat, and smokes 1 pack of cigarettes per day. The patient states in the evening he mostly enjoys sitting on the couch watching television. The nurse plans to provide education to the patient on modifiable risk factors to prevent coronary artery disease. Which of the following are a modifiable risk factors?

A patient consumed 8oz of coffee and 200mL of water at breakfast, and urinated 300mL. At lunch he consumed a 12oz tea, 60 mL popsicle (frozen ice), and urinated 300mL. After lunch the patient felt nauseated and had 60mL of emesis. Calculate the total output for this patient.

A 65 year old client is being seen at the outpatient clinic for a routine physical exam. The abdominal assessment shows distention, firmness, and the client states tenderness throughout the 4 quadrants. Upon further questioning of the client the following is determined; a slight decrease in appetite. consumes 320 mL of water per day along with 320 mL of other fluids such as coffee and soda, snacks frequently on cheese and crackers rather than full meals, and does not get much activity. Client states they have one to two bowel movements per week of hard formed stool. Based on the physical assessment and the answered questions what would be the recommended interventions for this client?

SELECT ALL THAT APPLY.

Which type of stool would the nurse assess in a client who states "I am experiencing abdominal cramping and having frequent bowel movements"?

While reading a physician's progress notes a student notes that an assigned client is having hypoxia. What abnormal assessments would the student expect to find?