After completing the assessment of a client, the nurse uses critical thinking and clinical reasoning to prioritize the client’s problems. Which of the following would the nurse determine as the highest priority?

In “The Spirit Catches You and You Fall Down,” what did Lia Lee’s family believe was the cause of her seizures?

Before a long-term care resident goes to sleep at night, dentures are placed in a denture cup with clean water. What rationale supports this practice?  

In “The Spirit Catches You and You Fall Down,” how did Lia Lee’s family view the role of doctors in her treatment?  

The client has been complaining about his care since being admitted to the hospital yesterday. He states to the nurse, “I want to see what is written in my medical record. No one is doing anything for me here.” The charge nurse is notified and meets with the client. The charge nurse’s best response to this client regarding his medical record would be,  

Follow instructions for rounding for each question.  Label all answers to receive credit. All labels must be written in approved abbreviations from Pickar or Taylor textbook. An adult weighs 225 lbs.  How much do they weigh in kg? (Round to the nearest tenths place.)   

Which action is most appropriate when cleansing a client’s eye while performing a bed bath?

The nurse is assessing an elderly bedridden client who weighs 108.9 kg. The client is incontinent at times and has a red, but intact, sacrum. Which of the following outcomes is appropriate for the client?    

When asked about their pain level, the client states, “I’m so miserable, I really need another pain shot.” The nurse’s initial response at this time is to

After analyzing the data, the nurse determines that the client has a knowledge deficit related to medication administration. This describes which phase of the nursing process?