The nurse interprets the following ABG pH 7.50 PaCO2 30 HCO3 25 as  

The nurse is discussing how to prioritize client care with the UAP. Which client should the nurse instruct the UAP to see first?  

Which technique is correct for the nurse to administer a cleansing enema to a client before a scheduled colonoscopy?  

A client had a CVA (stroke) two days ago, resulting in hemiparesis on the left side. During the assessment, the nurse discovers a Stage I pressure injury on the client’s left heel and includes which in the plan of care?  

The nurse is contacting the health care provider regarding a client’s sleep problem. Place the steps of the SBAR in the correct order. “I’m calling to ask if you would order a hypnotic such as Ambien (zolpidem) to use on a prn basis.” “Dr. Cline, this is Renata, the nurse caring for Mrs. Perry. I’m calling because Mrs. Perry is having difficulty sleeping.” Perry, 36 years old, was admitted 3 days ago following a motor vehicle accident. She is in a balanced skeletal traction for a fractured left femur. She is having difficulty falling asleep. Perry is taking her pain medication every 4 hours as ordered and rates her pain as 8 out of 10. Last night she was still awake at 0100. She states that she is comfortable but she can’t fall asleep. Her vital signs are T98.8 P 78 R 16 BP 124/71.

The nurse observes a client using a metered-dose inhaler and knows additional teaching is indicated when the client  

Which statements are correct about the principles of educating clients? SELECT ALL THAT APPLY.  

During a dressing change, the nurse notes an abdominal wound has eviscerated. What is the nurse’s initial action?    

The nurse teaches a client that occult blood  

The nurse is initiating a 24-hour urine collection for a client at home. What will the nurse instruct the client to do at the beginning of the specimen collection?