What is coughing up blood?

When taking an adult blood pressure, the onset of the sound the nurse hears is at 138, the muffled sound the nurse hears it at 70, and the disappearance of the sound the nurse hears is at 62. How should the nurse record this finding?

A nurse notices that a patient seems calm and peaceful despite an assessment that the patient’s injuries might be causing severe pain. The patient tells the nurse that using yoga and meditation lessens the perceptions of pain to tolerable levels. Which other alternative intervention should the nurse suggest to help relax this patient for pain relief?

The patient states, “My heart is pounding out of my chest.” The most definitive measure of this patient’s pulse rate to report to the physician would be:

A nurse observes a student taking an adult patient’s tympanic temperature. What action by the student requires the nurse to intervene?

A patient returned from a procedure and has vital sign measurements ordered every hour. The patient’s blood pressure has dropped from 132/82 mm Hg an hour ago to 90/66 mm Hg. What priority action by the nurse is most appropriate?

Using the thermometer in the picture, what route will the nurse use to assess the patient’s temperature?

What is the normal adult respiration rate?

A nurse is developing a fall prevention plan for a hospitalized patient who is at high risk for falls due to impaired mobility and mild cognitive impairment. Which interventions should the nurse include in the fall prevention plan? Select all that apply.

Which nursing intervention should be prioritized to address the medical adhesive-related skin injury (MARSI)?