A nurse taking a client’s blood pressure prior to administering a drug could be considered what type of action? (Select all that apply.)

The nurse administered a scheduled dose of hypertension medication 45 minutes ago.  The nurse is now preparing to assess the client’s blood pressure.  In which phase of the nursing process will the nurse perform this action?

The nurse is working a night shift on the telemetry unit for the first time and watching the patient monitors while completing some charting.  The nurse notices that one patient’s vitals sign change and becomes alarmed, the charge nurse explains that the changes in vitals signs are associated with the patient transitioning into the REM state of sleep? (Select all that apply.)

The nurse is providing care for an older client just admitted to their unit, which of the following demonstrates respect to the client during their interaction? 

The health care provider orders documentation of a client’s intake and output. Using the following information, calculate this client’s intake in milliliters. 12 oz decaffeinated coffee   4 oz green jello12 oz apple juice 12 oz lemon-lime soda10 oz beef broth Total intake:

An adult client with renal cancer, weighing 70 kg, is to receive ondansetron 125 mcg per kg per dose.  The ondansetron is available in 3.5 mg/2ml vials. What is the dosage of ondansetron that the nurse should administer to the client in milliliters (round to the nearest tenth)?   

Match each level of Maslow’s Hierarchy with the appropriate example:

The nurse is caring for a client with pneumonia. An expected client outcome is, “The client will maintain adequate oxygenation by discharge.” Which outcome criterion indicates the goal is met?

A client who has been immobile because of a spinal cord injury develops hypercalcemia. The primary health-care provider prescribes hydrochlorothiazide 50 mg twice a day by mouth. The medication is supplied in capsules of 12.5 mg. How many capsules should the nurse administer for each dose?  (Record your answer using a whole number.)

All of the following would be considered red flag warning signs during a vestibular screening, EXCEPT: