To adequately assess the quality of a client’s pain, which question would be most appropriate?   

Which statement is most accurate in regards to client teaching?

S: 33-year-old female client with a 2-day history of feeling unwell has come to the emergency department today. She has been experiencing general fatigue, aches, chills, and decreased appetite over the past two days. In the last 12 hours, she has had new onset of shortness of breath with exertion, fever, and frequent cough productive of small amounts of yellow sputum. A Chest X-ray is completed which shows pneumonia in the right lung. B: Client is a healthy adult with no past medical history. A: T 102.6 F, HR 116, RR 28, BP 114/76, SpO2 88% on Room Air. Client is alert & oriented x4, mildly anxious, with increased work of breathing, and a flushed appearance. Crackles are auscultated in the right lung, left lung sounds are clear. Radial and pedal pulses are strong, she has no peripheral edema. R: Which of the following interventional outcomes validate the patient plan of care is beneficial? Select All That Apply.

How many calories will a teaspoon of jelly which contains 13 grams of carbohydrates with no fat or protein provide?

The client is receiving oxygen by non-rebreather mask. You notice that the reservoir bag is deflating completely with inspiration. What is the priority nursing action? 

 A nurse caring for a client who is receiving bolus enteral feedings several times daily.  Which nursing intervention is important to help prevent the client from experiencing diarrhea?  

Blood glucose monitoring before meals and at bedtime is prescribed for a client.  Place the following steps in the order in which they should be implemented.

A nurse is planning the discharge of a client who has sleep apnea and requires bi-level positive airway pressure (BiPAP) at night. The nurse should plan to consult with which of the following health care team members to help educate the client?

A post-surgical client has developed a temperature of 101 F, 24 hours after surgery.  The nurse assesses the client and has auscultated scattered crackles and rhonchi throughout the chest.  The nursing diagnosis is ineffective airway clearance.  After performing nursing interventions, which outcome/evaluation would indicate a therapeutic response to treatment? 

S: 33-year-old female client with a 2-day history of feeling unwell has come to the emergency department today. She has been experiencing general fatigue, aches, chills, and decreased appetite over the past two days. In the last 12 hours, she has had new onset of shortness of breath with exertion, fever, and frequent cough productive of small amounts of yellow sputum. A Chest X-ray is completed which shows pneumonia in the right lung. B: Client is a healthy adult with no past medical history. A: T 102.6 F, HR 116, RR 28, BP 114/76, SpO2 88% on Room Air. Client is alert & oriented x4, mildly anxious, with increased work of breathing, and a flushed appearance. Crackles are auscultated in the right lung, left lung sounds are clear. Radial and pedal pulses are strong, she has no peripheral edema. R: Prioritize the following provider prescriptions in the order they should be performed.