A Licensed Vocational Nurse (LVN) is caring for a group of assigned clients. Which client should the nurse identify as the most appropriate candidate for the insertion of an indwelling (Foley) catheter?

A client receiving IV vancomycin reports itching and flushing of the face and neck. The nurse notes hypotension. Which action should the nurse take first?

A nurse is caring for a client with an IV infusion. Which interventions help maintain IV patency? (Select all that apply)

A nurse is implementing a bladder training program for a client who is experiencing urinary incontinence. Which of the following interventions should the nurse include in the client’s plan of care?

A nurse is teaching a community health class on effective stress management. Which strategy should the nurse include as a positive coping mechanism?

A nurse is reviewing the intake and output (I&O) records for four adult clients on a medical-surgical unit. Which client’s urinary output should the nurse identify as the priority to report to the healthcare provider?

A nurse is collecting data from a client receiving continuous IV therapy via a peripheral IV. The cathetersite is cool and taut, and there is IV fluid leaking. The nurse should identify that the client has manifestations ofwhich of the following complications?

A 50-year-old adult patient weighs 165 lbs. Strict I/O’s are ordered due to acute kidney injury. Your shift is 1900-0700. Dry adult brief weight is 100 grams. Using the data below, calculate the patient’s total urine output for your shift in milliliters (ML).TIME – BRIEF WEIGHT2000: 130 grams2200: 416 grams0000: 258 grams0200: 134 grams0400: 100 grams0600: 300 grams

If there is inadequate hip flexor strength on the ipsilateral side, which of the following gait deviations would most likely be observed to move the ipsilateral leg forward?

The patient has bilateral 30 degree knee flexion contractures. Which of the following statements is most likely true?