A nurse has auscultated the abdomen in all four quadrants for 5 minutes and has not heard any bowel sounds. How would this be documented?

A hospital client has illuminated the call light and told the nurse, “I can’t quite seem to catch my breath.” The client appears to be in no visible distress. What is the first intervention that the nurse should perform?

When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate?

The nurse conducts a physical examination of a client who reports moderate to severe abdominal pain. Which data should the nurse collect during the objective assessment?

The nurse is caring for a client with an ileostomy that was created 5 days ago. The nurse will teach the client to anticipate what type of expected ostomy output?

A nurse is assessing a client who is reporting difficulty urinating. Which assessment would be a priority?

A client is reporting slight shortness of breath and lung auscultation reveals the presence of bilateral coarse crackles. The client’s SaO2 is 90% on pulse oximetry. The nurse has applied supplementary oxygen by nasal cannula, recognizing that the flow rate by this method should not exceed:

The nurse is caring for a client receiving oxygen therapy via nasal cannula. The client suddenly becomes cyanotic with a pulse oximetry reading of 91%. What is the next most appropriate action the nurse should take?

The nurse is preparing a client for an emergency exploratory laparoscopy. Before the procedure, it is most important for the nurse to take which action?

The experienced nurse teaching a student to measure an apical pulse includes which critical information? Select all that apply.