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?  

A client diagnosed with pneumonia is being admitted to the medical unit. Which independent nursing intervention should the nurse perform first?  

The nurse is caring for a client with the following laboratory results: RBC 5 million, Hgb 9g/dL, Hct 42%, Plts 110,000 mm3. Which assessment finding is of most concern to the nurse?  

After receiving a nebulizer treatment with a bronchodilator, the client complains of feeling anxious, has a headache, and wonders if her asthma is getting worse. What is the nurse’s best response?  

Which of the following clinical manifestations would have the highest priority to report to the healthcare provider?