A nurse monitors a patient for fluid retention. Which findings indicate worsening condition? (Select all that apply. )

Which indicates impaired perfusion?

Which route bypasses hepatic first-pass metabolism?

How can a physical assessment be incorporated into routine care?

A patient with severe dyspnea states, “I can’t breathe lying down.” Which position would the nurse anticipate being most helpful?

A patient’s vital signs remain normal, but the patient becomes increasingly confused. What is the nurse’s priority action?

Which nursing action is most important when administering a high-alert medication such as IV insulin?

A postoperative patient develops hypotension (BP 88/54), tachycardia (HR 122), and cool, pale extremities. Which interpretation by the nurse is most accurate?

What do nurses rely on when striving to make sound clinical judgments?

What is one thing used in the evaluation process?