The nurse of a medical-surgical unit receives a report from a postanesthesia care unit (PACU) nurse for a client who is being transferred following a right hemicolectomy. The PACU nurse reports, "The client has an IV infusion of 1,000 mL lactated Ringer's infusing at 125 mL/hr into the left wrist with 300 mL remaining. Prescriptions include morphine sulfate 2 mg IV every 2 to 4 hours for pain, last administered 30 minutes ago; ondansetron 4 mg IV every 8 hours for nausea, last administered 15 minutes ago." Which additional information is most important for the nurse to obtain in the report?

An older adult client who has difficulty hearing is being discharged from day surgery following a cataract extraction and lens implantation. Which intervention is most important for the nurse to implement to help ensure the client's compliance with self care?

A client exposed to tuberculosis is scheduled to begin prophylactic treatment with isoniazid. Which information is most important for the nurse to note before administering the initial dose?

The nurse wants to teach the client about the long-term phase symptoms of rape-trauma syndrome.

What symptoms are consistent with long-term rape trauma? Select all that apply.

The charge nurse observes a new nurse preparing to irrigate an intravenous catheter. The new nurse is attaching an 18-gauge needle. Which action should the charge nurse take?

A client's telemetry monitor indicates ventricular fibrillation (VF). Which action should the nurse implement immediately?

After falling down the basement steps, a client is brought to the emergency department. X-ray results confirm that the client's right leg is fractured. Following application of a leg cast, which assessment finding warrants immediate intervention by the nurse?

The nurse is preparing an adult with Addison's disease for self-management. Which information should the nurse include in the client's instructions?

The nurse is developing the plan of care for a client with pneumonia and includes the nursing problem of Ineffective airway clearance related to thick pulmonary secretions. Which intervention is most important for the nurse to include in the client's plan of care?

Click to highlight the statement(s) made by the client that indicate she understood the treatment recommendations and is developing an understanding of her disease. Select all that apply.
1.    Working with an addiction therapist for several months will assist in my recovery.

2.    The Alcoholics Anonymous program would be a great resource, but they do not have meetings when I'm free.
3.    It is not safe for me to drink alcohol, but I am still able to smoke marijuana without problems.
4.    Identifying potential triggers allows me to proactively utilize coping strategies.

5.    Relapse is an expected complication of substance use; thus, prevention strategies and awareness of my emotions are important.
6.    The treatment options for alcoholism are limited to inpatients, with very few resources for outpatients.
 

Following an acute myocardial infarction that occurred two weeks ago, an adult male presents for his follow-up appointment, accompanied by his spouse. He tells the nurse that he has lost his appetite, cannot seem to make decisions, and cannot sleep at night.
Which intervention is most important for the nurse to implement?