The nurse is ambulating a client who begins to fall. To prevent or minimize damage from this fall, the nurse would  

When formulating a plan of care to prevent falls, which of the following does the nurse incorporate? SELECT ALL THAT APPLY.  

When a client states they have recently been terminated from work, the nurse knows which human need may be compromised according to Maslow?

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

Which nursing intervention is considered a collaborative intervention?  

The nurse understands the importance of studying nursing theory because it:

The nurse has entered a client’s room to find the client tachycardic and flushed. What would be the priority intervention for the nurse at this time?

The client is experiencing a great amount of pain following a surgical procedure. After assessing the client, the nurse determines a nursing diagnosis of Skin integrity, risk for impaired related to abdominal incision. The nurse plans to reposition the client every two hours while awake. This is an example of which type of intervention?

The nurse is caring for a 27-year-old client following an asthma attack. The client is sitting up in bed with an oxygen mask. Presently, respirations are even and unlabored. Which route of assessing temperature would be contraindicated for this client?

The nurse notes the heart rate to have an irregular pattern of 72 beats/minute. The nurse notifies the health care provider and adds which to the plan of care?