38. The nurse is caring for a patient who underwent a bowel resection 2 hours ago. The urine output for the past 2 hours totals 50 mL. Which action should the nurse take?

37. While performing a physical assessment, the student nurse tells the instructor that she cannot palpate the patient’s bladder. Which statement by the instructor is best?

25. The nurse receives a laboratory report that states the patient’s digoxin level is 1.2 mg/mL; therapeutic range for this drug is 0.5 to 2.0 mg/mL. Which action should the nurse take?

41. The nurse uses the Glasgow Coma Scale and assesses that the client scored 15. Which response(s) did the nurse assess during this assessment? Select all that apply.

19. For which patient can the nurse safely delegate morning care to an experienced unlicensed assistive personnel (UAP)?

36. The nurse is checking the aspirate for the patient receiving gastric tube feedings. The nurse notes the 200 mL of pale yellow and cloudy fluid with a pH of 7.3. Which action should the nurse take?

16. While eating in the hospital cafeteria, the nurse sees a visitor display the “universal sign of choking.” Which action should the nurse take first?

43. The home health nurse is performing an initial assessment in the home of an 80-year-old client. Which instructions will the nurse provide to minimize and prevent bathroom accidents? Select all that apply.

6.   In which condition would bowel sounds be absent?

24. A patient is given furosemide 40 mg orally at 0900. The duration of action for this drug is approximately 6 hours after oral administration. At which time in military hours should the nurse no longer expect to see the effects of this drug?