The nurse is inserting an oropharyngeal airway and the client vomits when it is inserted.  What is the first action that should be taken by the nurse related to the occurrence?

The client has been complaining of shortness of breath for two weeks and has been admitted with the nursing diagnosis of impaired gas exchange. Which diagnostic test result would provide support/evidence for this nursing diagnosis? 

Which nursing diagnosis would be appropriate for a client who has a retention catheter and the drainage bag is found lying on the floor? 

What assessment findings or client conditions would indicate the need for suctioning? Select all that apply.

 What documentation would be most appropriate when recording the results of the administration of a soap suds enema (SSE) to the client? 

A client is complaining of pain when the balloon of an indwelling catheter is inflated. What should the nurse do next?

The nurse is caring for a client who has an acute infection.  Which assessment findings indicate the cardinal signs of acute infection?  Select all that apply

A 15 year old client comes to the emergency department and requires immediate surgery. The parents live an hour away and are not present to sign the consent. What is the best action by the nurse?

During oxygen administration to the client, which piece of equipment would enable the nurse to regulate the amount of oxygen delivered? 

During the shift report, the nurse learns that an older client is unable to maintain continence after sensing the urge to void and the client becomes incontinent on the way to the bathroom. Which nursing diagnosis is most appropriate?