The nurse is assessing a geriatric client with bacterial pneumonia who has become increasingly restless and confused.  Temperature is 100 F, pulse 110 beats/minute, respiratory rate is 26 breathes/minutes.  Which is the priority action by the nurse? 

A client with circumferential burns of both legs develops a decrease in pedal pulses along with a reduction of strength, and new numbness in the toes. Which action should the nurse take first?

The nurse is caring for a client in the emergency room with complaints of numbess of the face and dysphasia.  When returning to check on the client, the symptoms have resolved and the client is wanting to go home.  What statement by the client indcates that teaching by the nurse is effective?

The nurse is assessing clients who are risk for developing endocarditis.   Which client is at highest risk? 

A client arrives in the emergency department with hemiparesis and expressive aphasia that started 2 hours previously, and health records show a history of several transient ischemic attacks (TIAs). Which action will the nurse take?  The nurse anticipates preparing the client for

The nurse is talking with a client who has a burn injury that asks, “Why is it necessary for the scabs to be cut off my arms?” What is the most appropriate response by the nurse?

The nurse is assessing a client after a cardiac surgery.  Which new findings is the priority concern? 

The nurse is caring for a client who  has the following rhythm on the cardiac monitor.  What should the nurse do next? 

The nurse is instructing a patient with iron-deficiency anemia regarding the administration of an oral iron supplement. Which instruction should the nurse tell the patient?

The nurse is caring for a client who came to the emergency department with acute respiratory distress. Which information requires an immediate action by the nurse?