A nurse is planning to obtain the vital signs of a 2-year-old child who is experiencing diarrhea and who might have a right ear infection. Which of the
... [Show More] following routes should the nurse use to obtain the temperature? ✔✔Temporal
A nurse is caring for a client who is in the terminal stage of cancer. Which of the following actions should the nurse takes when she observes the client crying? ✔✔Sit and hold the client's hand
A community health nurse is preparing a campaign about seasonal influenza. Which of the following plans should the nurse include as a secondary prevention? ✔✔Screening groups of older adults in nursing care facilities for early influenza manifestations
A nurse is teaching an assistive personnel (AP) about proper hand hygiene. Which of the following statements by the AP indicates an understanding of the teaching? ✔✔"There are times I should use soap and water rather than an alcohol-based rub to clean my hands."
A nurse is performing an abdominal assessment for an adult client. Identify the correct sequence of steps for this assessment. ✔✔- Inspection - Auscultation - Percussion - Palpation
A nurse at a screening clinic is assessing a client who reports a history of a heart murmur related to aortic valve stenosis. At which of the following anatomical areas should the nurse place the stethoscope to auscultate the aortic valve? ✔✔Second intercostal space to the right of the sternum
A nurse is measuring vital signs for a client and notices an irregularity in the pulse. Which of the following actions should the nurse take? ✔✔Count the apical pulse rate for 1 minute, and describe the rhythm in the chart
A nurse observes an assistive personnel (AP) preparing to obtain blood pressure with a regular size cuff for a client who is obese. Which of the following explanations should the nurse give the AP? ✔✔"Using a cuff that is too small will result in an inaccurately high reading."
A nurse is admitting a client who has decreased circulation in his left leg. Which of the following actions should the nurse take first? ✔✔Evaluate pedal pulses
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse take first? ✔✔Perform hand hygiene [Show Less]