A 40-year-old woman is talking to a home care nurse about her husband’s infidelity and their subsequent divorce. The woman asks the nurse about providing for her children after her husband moves out. Which is an example of the nurse utilizing the planning portion of this client’s plan of care?
A client who has been utilizing peritoneal dialysis for 1 month presents to the clinic with complaints of abdominal pain and nausea. The nurse notes a distended abdomen. Which of the following interventions will the nurse need to do first?
A nurse is assigned 4 clients and is deciding which order to see the clients. Which of the following clients should be seen first?
A nurse is triaging clients in the emergency department. Which of the following clients should be seen first?
Several clients arrive in the emergency room at the same time. Which client should the nurse see first?
A nurse is caring for a client who has cut their hand with a kitchen knife. The client is bleeding through the kitchen towel that is wrapped around their hand and reports 8/10 pain. What is the priority nursing intervention for this client?
A client was found lying outside in the snow unconscious and brought to the emergency room. Upon assessment, the nurse finds that the client has a temperature of 92.1 F and the nurse is unable to palpate the left radial pulse. The nurse should do which of the following first?
The following clients are in the waiting room. Which client should be assessed and treated first?
A nurse who works as a manager on a general medical unit has implemented a new policy about using a standard of care developed by the nurse’s recent research into evidence-based practice. Which action best demonstrates that the nurse is appropriately evaluating the impact of this implementation on the nursing unit?
A client who is recovering from an abdominal wound tries to sit up in bed. The nurse notices a popping sound and checks the abdominal incision, which is leaking a significant amount of serosanguineous drainage. Which is the first intervention by the nurse?
