The nurse has entered a client’s room to find the client tachycardic and flushed. What would be the priority intervention for the nurse at this time?

The client is experiencing a great amount of pain following a surgical procedure. After assessing the client, the nurse determines a nursing diagnosis of Skin integrity, risk for impaired related to abdominal incision. The nurse plans to reposition the client every two hours while awake. This is an example of which type of intervention?

The nurse is caring for a 27-year-old client following an asthma attack. The client is sitting up in bed with an oxygen mask. Presently, respirations are even and unlabored. Which route of assessing temperature would be contraindicated for this client?

The nurse notes the heart rate to have an irregular pattern of 72 beats/minute. The nurse notifies the health care provider and adds which to the plan of care?  

A client who has been on bedrest is now permitted to get into a chair. The nurse demonstrates proper technique when transferring the client to the chair when:

Two nurses collaborate in assessing an apical-radial pulse on a client. The pulse deficit is 16 beats/minute, indicating  

The hospital staff is responsible for fall prevention. The best predictor of the likelihood of a client falling while hospitalized is  

The nurse is caring for a client with droplet precautions. In which situation will the nurse intervene?

The nurse should utilize SBAR communication during which of the following clinical situations?    

When teaching a client about home blood pressure monitoring, the nurse includes: