When listening to heart sounds, which valve closures are heard best at the base of the heart. Select all that apply.

The nurse wants to prevent venous thrombus (DVT) formation in a client after surgery. What action should the nurse delegate to the certified nursing assistant/patient care assistant to help prevent DVT formation in the client?

A postoperative client with a tracheostomy tube in place suddenly begins have noisy, bubbly sounding respirations. What action should the nurse take first?

The nurse obtains information when performing a focused assessment of a client with chronic obstructive pulmonary disease (COPD) who has been admitted with increasing dyspnea (shortness of breath) over the last 3 days. Which finding is most important to report to the health care provider?

Which nonpharmacologic pain treatment should the nurse avoid using in an older adult who shows signs of confusion?

When assessing tactile fremitus, increased tactile fremitus is expected under which condition?

When the nurse manager is evaluating the care of a client receiving oxygen through a nasal cannula, which finding indicates a need for more staff education about oxygen therapy?

A client has been diagnosed with peripheral arterial insufficiency to the right leg. Which of these findings would the nurse expect to find with this condition?

Which statement by the nurse indicates the correct order of steps to take when performing a focused assessment of the respiratory system?

What subjective data should the nurse obtain about a client's respiratory status? Select all that apply.

A nurse is preparing to suction a client. The pulse is 65 and pulse oximetry is 94%. Which finding will cause the nurse to stop suctioning?