A nurse reviews the clinical pathway for a 62-year-old client 1 day post-total hip replacement: the pathway specifies ambulation 50 feet twice daily, but the client reports 8/10 incisional pain with movement, has blood pressure 168/94 mmHg, and states “I’m too dizzy to walk right now.” Which action best reflects appropriate use of standard interventions?

A nurse develops a discharge plan for a 72-year-old client requiring home oxygen therapy. Which actions demonstrate elements of patient- and family-centered care? Select all that apply.

The exposure rate to a detector 5 feet from a source of radiation is 50 mGya/h. At what distance will the exposure decrease to 25 mGya/h?  Round your answer to the nearest tenth.

Decreasing diagnostic filtration results in which of the following?

A nurse evaluates whether planned interventions are patient-centered for a 58-year-old client with heart failure: lives alone, works night shifts as a security guard, and has a prescribed medication schedule of 0800, 1400, and 2000 daily. Which factors indicate the plan requires revision? Select all that apply.

A nurse reviews the care plan for a 67-year-old client 2 days post-abdominal surgery: provider orders include “ambulate in hallway twice daily” and “incentive spirometry every 2 hours while awake.” The nurse notes decreased breath sounds in lung bases and initiates coughing and deep-breathing exercises without a specific order. Which statement best describes this nursing action?

A nurse plans care for a 73-year-old client newly diagnosed with type 2 diabetes: the client states “I’ve managed my health with herbs for 40 years and they’ve worked fine,” has a hemoglobin A1C of 9.2%, and the provider ordered metformin 500 mg twice daily and diabetes education. Which nursing action best demonstrates patient-centered care?

A nurse evaluates a 69-year-old client with heart failure 72 hours after implementing interventions for the nursing diagnosis “excess fluid volume”: the expected outcome was “client will lose 1.5 kg within 72 hours.” The client gained 0.8 kg, has increased peripheral edema, and reports worsening shortness of breath. Which evaluation finding most clearly reveals an error or omission in care?

A nurse delegates morning care tasks to an assistive personnel (AP) who recently completed orientation. Which actions demonstrate appropriate delegation principles? Select all that apply.

Between the ages of 2 and 6 years old, the brain grows another _____ percent.