A nurse receives a 72-year-old client on the clinical unit following colon resection. History: atrial fibrillation, takes warfarin. PACU report: general anesthesia, estimated blood loss 400 mL, received morphine 6 mg IV 45 minutes ago. Current findings: drowsy, rates pain 2/10, has not voided since surgery 4 hours ago. Vital signs: BP 118/72 mm Hg, HR 88 bpm irregular, RR 14 breaths/min, SpO2 94% on 2 L oxygen. Which action should the nurse take first?

A nurse is performing an otoscopic examination on a 54-year-old client reporting right ear fullness and decreased hearing for 3 days. The client swims daily in a community pool. Vital signs: BP 126/78 mmHg, HR 70 bpm, RR 14 breaths/min, temperature 98.6°F (37°C). Before inserting the otoscope, which technique should the nurse use?

A nurse receives a 71-year-old client from the medical unit for same-day surgery. The client is scheduled for cataract extraction in 30 minutes. Which findings require the nurse to take action before the client is transported to the operating room? (Select all that apply.)

A nurse is reviewing medication orders for a 62-year-old client with atrial fibrillation who is being started on warfarin therapy. The client’s CYP2C9 genetic testing reveals a slow metabolizer phenotype with mutations on both gene alleles. Vital signs: BP 136/84 mm Hg, HR 88 bpm irregular, RR 18 breaths/min, T 98.4°F (36.9°C). INR 1.1. Which action should the nurse anticipate?

A nurse is caring for a 61-year-old client with newly diagnosed COPD. The client has a 35 pack-year smoking history and currently smokes 1 pack daily. Vital signs: BP 148/90 mm Hg, HR 94 bpm, RR 22 breaths/min, SpO 91% on room air. The client states, “I know smoking is bad, but I’ve smoked my whole life. Quitting now won’t make any difference.” Which response by the nurse best addresses this barrier to smoking cessation?

A circulating nurse is preparing to enter the restricted zone where a sterile field is already established for an orthopedic procedure. Which attire components are required before entering? (Select all that apply.)

A nurse is reviewing genetic testing results for four clients. Client A has sickle cell disease with a mutation in the hemoglobin gene. Client B has chronic myelocytic leukemia with translocation between chromosomes 9 and 22. Client C has type 2 diabetes with family history and obesity. Which characteristics apply to these genetic disorder classifications? (Select all that apply.)

 A nurse is caring for a 49-year-old client 6 hours after laparoscopic cholecystectomy. History: obesity (BMI 36), sleep apnea uses CPAP at home. Current findings: rates incisional pain 7/10, refuses to cough, last ambulated 4 hours ago. Vital signs: BP 138/84 mm Hg, HR 92 bpm, RR 22 breaths/min shallow, SpO2 91% on room air, temperature 37.8°C (100°F). Which interventions should the nurse implement? (Select all that apply.)

A nursing administrator is developing position descriptions that accurately reflect different scopes of practice. Which statements correctly describe scope of practice distinctions? Select all that apply.

A nurse is teaching a group of colleagues about differences between palliative care and hospice care. What is a key distinguishing feature of palliative care compared to hospice care?