The nurse plans care for a client who is scheduled to have a thoracentesis. Which information is most important for the nurse to obtain from the client before the procedure?

Calculate the total Intake and Output during your shift from 0700-1500: 0800- 8 oz of apple juice          -4 oz of milk          -4 oz of gelatin (Jell-O)          -500 mL of urine1200- 8 oz of chicken broth        -4 oz of grape juice         – 6 oz of soda         – 4 oz of water with medications1430- 600 mL of urine          – 50 mL of nasogastric drainageContinuous Intravenous (IV) fluids at 50 mL/hr. Intake: _______________ Output: ________________

The nurse is providing discharge instructions to a client with angina pectoris who is prescribed sublingual nitroglycerin. What is the most appropriate response for the nurse to make when the client asks what the medication does?

The nurse is caring for a client on metoprolol. Before administering the medication, the nurse checks the client’s blood pressure (BP) and apical pulse. The client’s BP is 122/78 mm Hg, and the apical pulse is 59 beats per minute. What action should the nurse take next?

A nurse is providing care to a patient with complaints of pain, who just returned from appendectomy surgery. What documentation entry in the patient’s medical record is most complete? 

The nurse received hand-off report on four clients who require medications at 0800. Which action by the nurse adheres to the six rights of medication administration?

A client has been diagnosed as having a fluid volume deficit following surgery. The nurse interprets that this complication is not resolving if which urine specific gravity measurement is obtained?

When the nurse taps at the level of the client’s facial nerve, the following response is noted. What would the nurse suspect is causing this response? Refer to figure.

What are examples of inadequate documentation that may lead to a malpractice claim? (Select all that apply.)

Therapeutic Phlebotomies for Hereditary Hemochromatosis and Testosterone replacement therapy are acceptable for allogeneic blood donation if the Blood Collection Facility has an exception or waiver from the________