A nurse is caring for a client on an acute mental health unit. The client reports hearin voices taht are stating “Kill your doctor”. Which of the following actions should the nurse take first?

A nurse is caring for a client who is unconscious and requires emergency treatment. Which of the following best describes the nurse’s legal responsibility in this situation?

The nurse is working with a client who is experience pain after a procedure, what changes in vital signs will the nurse expect to assess with this client? 

A nurse is using the ISBAR tool to provide information to the healthcare provider. Match the following with the appropriate part of the ISBAR tool?

A nurse is creating a personalized plan of care for a client being admitted to the medical unit with severe respiratory infection who reports harsh, nonproductive cough and is currently a smoker. List the nursing interventions in the appropriate order utilizing the nursing process. 

The nurse is witnessing informed consent for a client about to undergo a procedure.  The nurse knows which person(s) can provide consent for their own treatment as long as they are competent? (Select all that apply.) 

The nurse is caring for a client who has a dysfunctional GI tract.  The nurse is preparing to administer total peripheral nutrition (TPN) and know this nutrition source will be administered in which way? 

A nurse is caring for a patient from a cultural background where family members are considered the primary decision-makers for healthcare. The patient’s adult children are present during the visit and ask questions about the patient’s care. Which of the following is the most culturally competent approach for the nurse?

A nurse is assisting a client in choosing their brealfast, the client is healing from a recent surgery to debride an infected wound.  Which meal would the nurse encourage the client to choose?

The nurse discovers a small fire in a linen closet, what is the first action the nurse should take using the RACE mnemonic?