A nurse caring for a client who is receiving bolus enteral feedings several times daily.  Which nursing intervention is important to help prevent the client from experiencing diarrhea?  

An adult client is receiving oxygen by simple face mask in their residence. Which statement by the client indicates that client teaching regarding the use of oxygen therapy has been effective? 

Which example of documentation would be most appropriate and supports the nurse’s objective assessment data? 

When assessing the client’s learning needs, which elements should the nurse focus on for the client’s learning needs? Select all that apply.

When documenting the assessment of fecal material, which assessment findings accurately reflect the client with an ascending colostomy? 

An anxious client is admitted to the emergency department (ED) after having a fender bender in the campus parking lot.  The clients respiratory rate is 36 and the client complains of feeling dizzy and lightheaded.  What is the priority nursing action? 

S: 33-year-old female client with a 2-day history of feeling unwell has come to the emergency department today. She has been experiencing general fatigue, aches, chills, and decreased appetite over the past two days. In the last 12 hours, she has had new onset of shortness of breath with exertion, fever, and frequent cough productive of small amounts of yellow sputum. A Chest X-ray is completed which shows pneumonia in the right lung. B: Client is a healthy adult with no past medical history. A: T 102.6 F, HR 116, RR 28, BP 114/76, SpO2 88% on Room Air. Client is alert & oriented x4, mildly anxious, with increased work of breathing, and a flushed appearance. Crackles are auscultated in the right lung, left lung sounds are clear. Radial and pedal pulses are strong, she has no peripheral edema. R: What would the expected outcome be for this patient? Choose one of the options provided in the parentheses.  Patient maintains optimal gas exchange as evidenced by __________ (clear lungs sounds in the right lung, maintaining respiratory rate of 12-20, maintaining an oxygen saturation of 92% or higher) by discharge. _______

In regards to the client’s dietary choices, what information will the nurse include in the teaching plan for a client who is taking anticoagulants? 

A post-surgical client has developed a temperature of 101 F, 24 hours after surgery.  The nurse assesses the client and has auscultated scattered crackles and rhonchi throughout the chest.  The nursing diagnosis is ineffective airway clearance.  After performing nursing interventions, which outcome/evaluation would indicate a therapeutic response to treatment? 

A nurse is caring for a client who is terminally ill. Which of the following statements would the nurse identify as a therapeutic response from a family member?