When a client reports cramping during the administration of a cleansing enema, which nursing action is appropriate?
The nurse conducts a physical examination of a client who re…
The nurse conducts a physical examination of a client who reports moderate to severe abdominal pain. Which data should the nurse collect during the objective assessment?
The nurse is caring for a client with an ileostomy that was…
The nurse is caring for a client with an ileostomy that was created 5 days ago. The nurse will teach the client to anticipate what type of expected ostomy output?
A nurse is assessing a client who is reporting difficulty ur…
A nurse is assessing a client who is reporting difficulty urinating. Which assessment would be a priority?
A client is reporting slight shortness of breath and lung au…
A client is reporting slight shortness of breath and lung auscultation reveals the presence of bilateral coarse crackles. The client’s SaO2 is 90% on pulse oximetry. The nurse has applied supplementary oxygen by nasal cannula, recognizing that the flow rate by this method should not exceed:
The nurse is caring for a client receiving oxygen therapy vi…
The nurse is caring for a client receiving oxygen therapy via nasal cannula. The client suddenly becomes cyanotic with a pulse oximetry reading of 91%. What is the next most appropriate action the nurse should take?
The nurse is preparing a client for an emergency exploratory…
The nurse is preparing a client for an emergency exploratory laparoscopy. Before the procedure, it is most important for the nurse to take which action?
The nurse is caring for a client who has had a left-sided ma…
The nurse is caring for a client who has had a left-sided mastectomy with lymph node dissection 8 months ago. When assessing the client’s vital signs, which action should the nurse take?
The experienced nurse teaching a student to measure an apica…
The experienced nurse teaching a student to measure an apical pulse includes which critical information? Select all that apply.
A nurse finds the right pedal pulse is +2 and the left is ab…
A nurse finds the right pedal pulse is +2 and the left is absent. What is the priority action?