A nurse is observing a patient care assistant (PCA) caring for a client with Clostridium difficile (C. difficile) infection. Which action requires immediate intervention by the nurse?

A factory worker is brought to the occupational health clinic after accidentally spilling a concentrated industrial acid on both arms and legs. Which action should the nurse take first?

A nurse is caring for a client in hypovolemic shock. The client’s airway is patent, and oxygen therapy has been initiated. Which nursing intervention is the priority next step?

A newly placed tracheostomy becomes dislodged on the second postoperative day. Why is this especially dangerous?

Which findings indicate that a patient with a tracheostomy may require suctioning? Select all that apply.

A wet-suction chest drainage system is prescribed at −20 cm H₂O. How is the amount of suction controlled?

A postoperative patient is receiving hydromorphone through patient-controlled analgesia. Which assessment finding requires immediate intervention?

The nurse is assessing a patient’s pain. Which questions should the nurse include? Select all that apply.

A patient’s oxygen saturation decreases from 95% to 84%, and the patient becomes restless. Which action should the nurse perform first?

Which tasks may the RN delegate to an experienced nursing assistant for a stable patient receiving oxygen? Select all that apply.