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)?

A nurse adds the diagnosis ‘Risk for infection’ to the care plan of a comatose patient who has developed a Stage II pressure ulcer. What would be the most appropriate goal for this patient?

Briefly describe the broad purpose of the seventh paragraph. What important information is presented in this paragraph?

Which calibration on the syringe does the arrow indicate?