Client with type 2 diabetes for 12 years tells the nurse, “My vision has been a little blurry lately, but I don’t have time for eye appointments.”Which nursing response best focuses on reducing the risk of diabetic retinopathy progression?

A client is admitted to the hospital with limited mobility following a stroke. The client is frequently repositioned while in bed and is receiving physiotherapy to overcome right-sided lower extremity weakness. The nurse observes that the client often slides down in the bed, requiring frequent repositioning, and the absorbent pad under the client is wet with urine between changes. The client is being tube-fed and tolerating well. Based on this scenario, what factors does the nurse identify as putting the client at risk for skin breakdown? Select all that apply.

An elderly client admitted for dizziness often asks the nurse to repeat herself, appears frustrated and looks away during conversation, and often answers questions inappropriately. Which actions, by the nurse, would best improve communication?Select all that apply.

Which observation made by the nurse suggests that a client is having difficulty swallowing? Choose the best response.

The nurse administers a narcotic for pain to a terminal client with end-stage pulmonary disease and dementia. One hour post analgesic the client exhibits facial grimacing and restlessness. Pulse rate is 90 and respirations are quiet at 24/minute. Pulse oximeter is 98%. How should the nurse interpret these assessment findings?

A nurse is caring for a Mexican client with chronic pain who states, “I’m going to see a curandero because someone gave me the evil eye.”(Note: A curandero is a traditional folk healer in Mexican culture who treats physical, emotional, and spiritual ailments using herbs, rituals, and spiritual guidance.) What is nurse’s best response?

A client with pancreatitis is ordered an infusion of Ringer Lactate 1.5 L over 8 hours. There no IV pumps available so the nurse will need to infuse manually. The drop factor of the tubing set is 15gtts/mL.  How many gtts/minute should the nurse set the infusion to deliver? Round the answer to the nearest whole number. Enter numeric value only in the blank. [BLANK-1]

A Geriatric practitioner is teaching nursing staff at a nursing home about early recognition of pneumonia, urinary tract infection and sepsis in the elderly. What is a key symptom that the practitioner should emphasize as being the first to appear?

The discharge nurse is teaching insulin administration to an older client. Based on the nurse’s understanding of the older learner which teaching strategy would be the best to use?

While sitting at the bedside of a dying patient, the patient’s two sons are discussing the patient’s rifle collection and state that they hope their father identified which of them was to receive the guns in the will. What should the nurse do to ensure the comfort of the patient?