A child is diagnosed with tetralogy of Fallot and during a temper tantrum turns blue. Which of the following should the nurse do first?

The nurse enters the room, and the client is grimacing and guarding the abdomen. The client reports, “I have pain.” What is the nurse’s priority action?

The nurse reviews the plan of care for a child with Reye syndrome. The nurse prioritizes nursing interventions included in the plan and prepares to monitor for:

The nurse is caring for a client with a diagnosis of asthma is admitted to the hospital with respiratory distress. The nurse would expect to hear which adventitious lung sounds?

A nurse is caring for a 65-year-old client who has been paralyzed from the waist down. The physiotherapist has prescribed ambulatory exercise, for which the nurse needs to monitor and assist the client. Which indication would the nurse assess that would indicate that this activity is beyond the tolerance level of the client?

A toddler is diagnosed with neutropenia. Which of the following should be priority teaching?

The RN is admitting a child diagnosed with measles (Rubeola). Which intervention is the priority?

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The nurse explains to the client that COPD is a chronic disease. Why is COPD considered a chronic disease?

Which action will the RN instruct the parent of a 9-month-old to use to encourage the development of object permanence?

The nurse is assessing the pulse of a young adult who is training for a triathlon competition with a pulse rate is 48 beats/min. What education does the patient need to be provided with at this time?