The nurse utilizes the SBAR format to give report to the next nurse. Which one of the following statements is correct about the SBAR?

The nurse does not turn a client every two hours as ordered, and the client develops a pressure injury.
What legal concept applies?

The RN learns that the father of a teenage client was killed in a car accident when he was a baby, and his mother has raised him on her own.

How should the nurse interpret this family’s functionality?

A public health nurse is assessing an older adult client who lives with a family member.

The nurse identifies several bruises in various stages of healing. The client and family members explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse.

Which of the following actions should the nurse take first?

A client sees his primary care physician for complaints of fatigue. Bloodwork shows the client is anemic.
Upon physical assessment, what signs would the provider expect to see? (Select all that apply)

While preparing a client for surgery, the nurse marks the arm that is to be amputated and participates in a “time-out” procedure before the surgery begins.
Which sentinel event is this action intended to prevent?

A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing.
Which of the following actions is the nurse’s priority?

A diabetic client presents to the acute care facility for the amputation of two gangrenous digits on her left foot.
Which type of perfusion issue has caused this condition?

A nurse working in the PACU (post-anesthesia care unit)/recovery room unit is monitoring a patient whose vital signs were stable upon arrival from the operating room. The patient’s temperature began to rise steadily the past 20 minutes and continues to rise, the heart monitor shows sinus tachycardia with a rate of 122, the patient’s blood pressure is 86/42, and pulse ox is 88% on 2 L O2 via nasal cannula.
The nurse suspects which genetic condition?

A new nurse is working in a hospital.
Which of the following actions by the nurse is NOT related to one of the National Patient Safety Goals?

The RN is caring for James, an elderly man, in his home. The client’s son, Brad, is visiting and he plans to take James to the bank so that he can sign a Power of Attorney (POA) for his finances over to Brad. James tells the nurse that he is not ready for his son to take over as POA, but he doesn’t want to make him angry.
What should the nurse do next?