A nurse on a medical-surgical floor received report on the following clients.  Which client should be seen first?  

A nurse is caring for a client who is 4 hours postoperative following a right hip hemiarthroplasty. The nurse should instruct the client to avoid which of the following activities?

A nurse is caring for a client who has undergone a radical prostatectomy to treat prostate cancer and has an indwelling foley catheter in place. For several hours, the client’s urinary output is adequate. After 5 hr, the nurse notes that the catheter has drained no urine during the prior hour. Which action will the nurse do first?

A 50-year-old patient with diabetes is being discharged on IV Cefazolin for acute osteomyelitis in the right leg caused by an right foot ulcer. Which information is most appropriate to be included in the discharge teaching?

Which assessment finding for a 55-year-old patient should alert the nurse to the presence of Osteoporosis?

The nurse supervises the care of a patient with a temporary radioactive cervical implant (brachytherapy). Which action by unlicensed assistive personnel (UAP), if observed by the nurse, would require an intervention?

A patient who has just begun to awaken after 30 minutes in the post anesthesia care unit (PACU) is restless and calling out in confusion. The patient’s oxygen saturation is 97%, and recent lab results are all normal. Which action by the nurse is most appropriate?

A patient with type 1 diabetes has an unusually high morning glucose measurement, and the health care provider wants the patient evaluated for possible Somogyi effect. Which of the following nurses actions would be most appropriate? 

The physician places an order for a post-operative patient to be discharged from the PACU. The nurse should question the order based on which finding?

A nurse is instructing a client who has GERD about positions that can help minimize the effects of reflux during sleep. Which of the following statements indicates to the nurse that the client understands the instructions?