A nurse is teaching a client and his family how to care for the client’s tracheostomy at home. Which of the following instructions is appropriate for the client and family?Term
Use tracheostomy covers when outdoors.
A nurse is giving an end-of-shift report about a client admitted earlier that day with pneumonia. Which of the following pieces of information is most essential to provide?
A nurse is checking blood pressures at a community health screening. Which of the following clients is at high risk for primary hypertension?
a client who has elevated LDL
A nurse is planning care for a client who has had a stroke resulting in aphasia and dysphagia. Which of the following tasks should the nurse assign to an AP? (Select all that apply.)
Assist the client with a partial bed bath.
Measure the client’s BP after the nurse administers an antihypertensive medication.
Use a communication board to ask what the client wants for lunch
A nurse is caring for a client who is combative in the emergency department. The provider orders wrist restraints after the client attempts to assault the admitting nurse. Which of the following actions is appropriate for the nurse to take?
Remove each restraint one at a time every 2 hr.
A nurse is preparing to administer morphine 4 mg IV bolus to a client. Available is morphine 5mg/mL. Which of the following is an appropriate nursing intervention?
Have a second nurse witness the disposal of remaining medication.