A few months after bariatric surgery, a 56-yr-old male patient tells the nurse, “My skin is hanging off of me. I think I might want to surgery to remove the skinfolds.” Which response by the nurse is most appropriate?

The nurse is caring for a telemetry patient and identifies the patient’s ECG rhythm as:

The nurse delegates to the nursing assistant the task of monitoring a patient’s intake and output (I and O) every 2 hours and recording the I and O in the electronic chart. Later the nurse checks the patient’s chart and discovers that the I and O have not been recorded. What is the nurse’s best action?

A major disaster has been called, and the charge nurse on a medical unit must recommend clients to discharging physician during rounds. Which patient should not be discharged?

A community health nurse is caring for a group of homeless people. When planning for the potential needs of this group, what is the most immediate concern?

Mr. L, 59 years-old, was admitted today with chest pressure, indigestion, nausea and vomiting which was not relieved with Mylanta. He has a 14 year history of hypertension and swelling in his ankles. He was a smoker but quit 2 years ago. His vital signs are: BP 176/92; HR 120-130 irregular; Temperature 99.8 oral; Respirations 30-34/min.; Sa02 is 94% on room air. Which interventions can the nurse assign to the LPN/LVN caring for Mr. L? Select all that apply.

The nurse has received 4 new admits between 0500 and 0700 and must choose appropriate meal trays for the patients from a selection of generic meal trays.  Match the best meal choice for each of the patients.  Use each selection only once. 

After sleeve gastrectomy, a 42-yr-old male patient returns to the surgical nursing unit with a nasogastric tube to low, intermittent suction and a patient-controlled analgesia (PCA) machine for pain control. Which nursing action should be included in the postoperative plan of care? Select all that apply.

A patient with hepatitis A is in the acute phase. The nurse plans for the care of the patient based on knowledge that

When planning care for a patient during a sickle cell crisis, the nurse should include which interventions? Select all that apply.