The nurse is assessing a geriatric client with bacterial pneumonia who has become increasingly restless and confused.  Temperature is 100 F, pulse 110 beats/minute, respiratory rate is 26 breathes/minutes.  Which is the priority action by the nurse? 

The nurse is talking with a client who has a burn injury that asks, “Why is it necessary for the scabs to be cut off my arms?” What is the most appropriate response by the nurse?

The nurse is preparing to teach a client with chronic obstructive pulmonary disease (COPD) on nutrition and diet.  Which statement by the client indicates understanding? 

The nurse is preparing a teaching plan for a community health fair screening of lung cancer.  Which of the following facts about small-cell lung cancer would the nurse  include?  (Select all that apply)

The nurse positioned a client with acute respiratory distress syndrome (ARDS) into a prone position 2 hours ago.  Which information obtained by the nurse indicates that the positioning is effective?

 The  nurse is caring for a client that complains of feeling like their heart is racing and with the following rhythm on the cardiac monitor.  Which actions will the nurse anticipate implementing? (Select all that apply)

The nurse is caring for a client who is scheduled for a cardiac angiogram.  Which of the following should the nurse instruct the client and the family about this diagnostic test?

A client is 4 hours postoperative after transluminal angioplasty using the right femoral artery.  The client reports leg pain on the affected side, rated as 5/10. What action by the nurse takes priority?

The nurse is planning care for a hospitalized client who is experiencing an acute episode of trigeminal neuralgia. Which action is appropriate for the nurse to include in the plan of care?  

The nurse is performing a physical assessment on a client and observes small, purplish, red-point lesions covering the client’s skin. The nurse knows this assessment finding is an indication of which of the following?