Nurse Taylor is preparing to call the provider about a postoperative client with increasing pain, swelling, and drainage at the surgical site. Before making the call, the nurse reviews the chart and notes the time of surgery, the type of procedure, and the client’s vital signs. What key information should Nurse Taylor include in the Background portion of the SBAR report?

Teaching for **ophthalmic** drops (timolol) should include:  Select all that apply.

Safe **parenteral** administration practices include: Select all that apply.

Ear drops for a 2-year-old with otitis media should be administered by:

A provider orders a loading dose of an antiarrhythmic with a 36-hour half-life. What is the best rationale for a loading dose?

A thin adult requires a **subcutaneous** injection of heparin in the abdomen. What technique is best?

Common age-related changes that alter pharmacokinetics in older adults include:

Nurse Olivia is calling the healthcare provider about a client who developed shortness of breath after receiving a blood transfusion. She says, “Mr. Jones received 1 unit of packed red blood cells about 30 minutes ago, and now he is experiencing shortness of breath and has crackles in both lower lobes. His oxygen saturation has dropped to 88% on 2L nasal cannula.” Which part of the SBAR communication does this statement represent?

Nurse David works on a medical-surgical unit where several clients have recently experienced medication errors related to similar documentation issues. Instead of blaming individual nurses, David reviews the unit’s workflow and realizes that the electronic health record prompts are confusing and inconsistent. He collaborates with the nurse manager and IT department to adjust the system, helping prevent future errors for the entire hospital. Which example demonstrates “systems thinking” in nursing practice?

During an evening shift, the nurse is preparing to administer insulin to a client newly diagnosed with type 1 diabetes. As she double-checks the medication, her preceptor reminds her to verify the dose with another nurse. The nurse wonders why this is necessary, given her confidence in her calculations.