A nurse is caring for a client who is receiving continuous NG tube feedings. The nurse listens to the client's bowel sounds. Which of the following
... [Show More] actions should the nurse take? (Click on the audio button to listen to the clip.)
Decrease the rate of the feeding
A nurse is preparing to administer oxygen to a client who has heart failure and is having severe difficulty breathing. Which of the following oxygen delivery equipment should the nurse select to provide the highest concentration of oxygen to the client?
Nonrebreather mask
A charge nurse smells smoke, enters the visitor restroom, and sees flames in the trash can. What is the sequence of actions that the nurse should take? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Evacuate clients from the area is the first step.
Pull the lever on the fire alarm box is the second step.
Close the fire doors on the unit is the third step.
Use a fire extinguisher to put out the fire is the fourth step.
A nurse is caring for a client who has metastatic cancer and practices Catholicism. The client asks the nurse to discuss the afterlife with them. Which of the following statements by the nurse assists in meeting the client's spiritual needs?
"Tell me what the afterlife means to you."
A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the following instructions should the nurse include?
"When lifting a heavy object, keep it close to your body."
A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by the client indicates an understanding of the teaching?
The client advances the unaffected leg first while climbing stairs.
A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone about the illness. Which of the following actions should the nurse take to encourage therapeutic communication?
Let the client know that, as their nurse, they are available and willing to listen.
A nurse is preparing to remove a client's peripheral IV catheter. After performing hand hygiene and applying clean gloves, which of the following actions should the nurse take first?
Clamp the infusion tubing.
A nurse is contributing to the plan of care for a client who has a positive throat culture for streptococci. Which of the following interventions should the nurse recommend to be included in the plan of care?
Ensure that the client wears a surgical mask during transportation throughout the facility.
A nurse is caring for a client who has just died and practiced the Islamic faith. Which of the following cultural practices should the nurse expect?
The client's face should be turned toward Mecca.
A nurse is preparing to transfer a client from an acute care facility to a long- term care facility. Which of the following information should the nurse plan to include in the transfer report?
Resolved health conditions [Show Less]