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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