The nurse is assessing a patient that has just returned from surgery where the sigmoid colon was removed. The nurse notes that there is a small area of  “through” drainage (sanguinous drainage seeping through the dressing) noted on the initial surgical dressing.  Which of the following actions by the nurse is most appropriate?

The patient consumed five ounces of orange juice, four ounces of tea, and three ounces jello.   The patient has received an additional 300 ml of IV fluids.  The nurse is completing the intake and output for this patient and will record   ________ as oral intake in the electronic medical record.

The provider has ordered cefaclor 400 mg to be given twice a day.  The nurse will administer how many milliliters per 400 mg dose?   State the number only in the answer- do not include ml ______ ml

A 36-year-old male patient was an unrestrained passenger in a motor vehicle accident and was just admitted to the ICU. He is currently being evaluated for brain death. Which of the following findings would delay a diagnosis of brain death?

A nurse is caring for a client after a cranial surgery in which the incision was made in the back of the skull. The nurse is delegating the task of repositioning to an unlicensed assistive personnel (UAP). Which instructions would be important to include when delegating to the UAP?

A client being considered for organ transplant is worried about being accepted on a transplant list due to a history of HIV. What should the nurse teach the client about qualifications for transplantation?

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The patient will be started on morphine delivered through a patient controlled analgesia (PCA) pump.  Which one of the following instructions is essential for the nurse to give to both family members and the patient regarding this method of pain management?

The nurse is caring for a patient receiving IV fluids and notes the IV site to appear reddened and warm to touch. There is a visible red streak on the arm.  The nurse recognizes this IV complication to be:

The provider’s order is for digoxin 0.125 mg daily.   The nurse will administer _________ tablet(s)? ANSWER WITH NUMBER ONLY AND DO NOT WRITE TABLETS AFTER NUMBER