A nurse is completing an admission assessment for a client who reports vomiting and diarrhea
for the past 3 days. Which of the following assessment findings should the nurse expect?
- Rapid heart rate
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer
following major abdominal surgery. Which of the following is the nurse's priority action?
- Determine the reasons why the client is refusing to use the incentive spirometer.
A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through
an open system. Which of the following actions should the nurse take first?
- Tell the client to keep the head of the bed elevated at least 30 degrees.
A nurse is administering an Otic medication to an older adult client. Which of the following
actions should the nurse take to ensure that the medication reaches the inner ear?
- Pressing gently on the tragus of the client's ear.
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter.
Which of the following actions should the nurse take?
- Subtract the amount of irrigant used from the client's urine output.
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the
following actions should the nurse plan to take?
- Place the client's arm in a dependent position.
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