When percussing the stomach, which of the following sounds would most likely be heard?

The nurse is caring for a patient admitted with abdominal pain. The patient complains of pain with palpation to the right upper quadrant. Which organ is most likely involved in the patient’s pain presentation?

The nurse determines the client’s pressure ulcer is Stage III.  Which of the following descriptions is consistent with this stage?

  The nurse is applying a medicated ointment topically to a rashy area. What is the most appropriate reason to cleanse the area before the application of the medication?                             

Which of the following types of dressings would the nurse choose for a wound with minimal exudate, which does not allow for penetration of water, bacteria, or other contaminants, is thin and is often used as a “topper” over other filler dressings?

What information should the nurse include when teaching a client how to collect a mid-stream urine specimen?

The nurse is caring for a client who is receiving 250mL of enteral feedings through a gastrostomy tube every six hours. The nurse obtains 400mL of gastric contents when checking for residual fluid prior to getting ready to do the next scheduled enteral feeding. What should the nurse do next? 

The nurse utilizes different tools during nursing practice to provide quality safe care. Which of the following tools would the nurse choose to use as a risk assessment for predicting impaired skin integrity?

The nurse instills eye drops to the?

An 18-year-old male client was diagnosed with epilepsy at 11 years of age, which has been effectively controlled by valproic acid and lamotrigine. Today, he presents to the emergency department via emergency medical services and is experiencing a generalized tonic-clonic seizure.  Indicate whether the nursing interventions below are Indicated (appropriate or necessary), Contraindicated (could be harmful), or Non-Essential (not necessary) for the client’s care at this time.