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 been assigned 4 patients to care for at the beginning of their shift. Using the Safety and Risk Reduction priority setting framework, which of the following patients should be the priority to see first by the nurse?

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?

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

A nurse has volunteered for a local health fair to do blood pressure checks on participants to screen for hypertension. Which level of prevention does this activity represent?

A patient tells their nurse "I am scared about my surgery tomorrow". The nurse's response to the patient is "everything will be fine, you have nothing to worry about". This comment by the nurse would be considered which type of communication block?

A 73 year old client has been admitted to the hospital for their respiratory disease of COPD. The client states that they have no appetite and eat very little throughout the day due to shortness of breath. The client also states that they have lost significant amounts of weight over the past several months. The nurse caring for the client is concerned that the client may be suffering from malnutrition. Which lab value would the nurse want to check to determine if the client is malnourished?

Which of the following are stages recognized by Maslow's Hierarchy of Needs Theory? (Select all that apply).

A client who is recovering from surgery has been ordered a clear liquid diet. The nurse will be able to offer which new item that would be considered on a clear liquid diet to the client?

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.

A nurse touches a patient's hand to indicate caring and support. What channel of communication is the nurse using within Berlo's Model of Communication?