The nurse just finished ambulating a client. Compare the admission vital signs to the current vital signs after ambulation.  Indicate whether the change in vital signs is “concerning” or “not concerning”. For your answer, check only the boxes that would be “concerning”   Client Chart   Admission Vital Signs Current Vital Signs Temperature 97.8˚ oral 98.2˚ oral Pulse 68    pm 78    pm Respirations 16 20 Blood pressure 118/68 148/72 O2 saturation 96% 92%

When documenting on a client with a diagnosis of colon cancer, which of the following would be appropriate documentation of subjective findings? Select all that apply. The client  

The nurse is making an occupied bed. Which is the most important nursing action?  

An unlicensed assistive personnel (UAP) floats to the surgical unit. Select which tasks would be appropriate to delegate to the UAP. Select all that apply.  

The client is off the unit having a procedure done and will not return for at least an hour. A family member is agitated that they missed the client and would like to know the diagnosis. The nurse’s best course of action is to  

Follow instructions for rounding for each question.  Label all answers to receive credit. All labels must be written in approved abbreviations from Pickar or Taylor textbook. An adult weighs 225 lbs.  How much do they weigh in kg? (Round to the nearest tenths place.)   

In “The Spirit Catches You and You Fall Down,” how did Lia Lee’s family view the role of doctors in her treatment?  

The nurse has completed morning care for a client. There is no visible soiling on her hands. What hygiene technique does the CDC recommend?  

While conducting a physical examination of the thorax, the nurse notes breath sounds as high-pitched, continuous sounds heard during inspiration and expiration. These breath sounds would be documented as  

Which of the following can a nurse assess by palpation?