The unlicensed assistive personnel (UAP) has reported a client’s oral temperature of 95.5F. The nurse’s best response is to  

The nurse prepares to obtain a blood pressure reading on a client who returned from the recovery room following left hip replacement. Intravenous fluids are infusing in the right antecubital area.  The nurse knows the most appropriate site to take the blood pressure is the:

A nurse is approached by a family member who is visiting from out of state and has come to see their relative. The client is off the floor having a procedure done and will not return for at least an hour.  The family member is agitated that they missed the client and would like some information from the nurse.  The nurse’s best course of action is to

The nurse has delegated oral care for an unconscious client to an unlicensed assistive personnel (UAP). Which action by the UAP requires immediate intervention by the nurse?

Which nursing intervention is considered a collaborative intervention?  

The nurse recognizes the presence of smoke in a utility room. What would be the nurse’s first action?

The nurse is caring for a client with droplet precautions. In which situation will the nurse intervene?

The nurse is discussing the care of four clients with an unlicensed assistive personnel (UAP).  The UAP is planning morning care and hygiene for the clients.  Which client should the nurse instruct the UAP to offer hygiene measures to first?

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.  The nurse determines a priority nursing diagnosis of Skin Integrity, risk for impaired.  Which outcome is appropriate for the client?  

The instructor is teaching a group of nursing students about the nursing process and knows that teaching has been effective when a student states that a nursing diagnosis