An elderly client admitted with pneumonia and dementia has attempted several times to pull out the IV and Foley catheter. The nurse obtains a prescription for bilateral soft wrist restraints. Which nursing action is most appropriate?

The teaching plan for a client with acute sinusitis will need to include which of the following interventions? Select all that apply.

A client returns to their room following a fiberoptic bronchoscopy with biopsy. The client was given atropine and morhpine sulfate prior to the test, and lidocaine was used during the test. What intervention by the nurse is most appropriate? 

Which of the following health promotion activities will the nurse include in the discharge plan for a client with asthma.

You are the charge nurse on the med-surg unit and are admitting a client with pneumonia. What client is appropriate to choose as their roommate? 

A client has a tracheostomy placed due to chronic respiratory failure. Upon return to the unit, the nurse notes that the outer cannula has been coughed from the trachea. What is the nurse’s priority action?

A 74-year old female is admitted to the Emergency Room with increasing dyspnea, productive cough, and fatigue.   Nurses’ Notes       1000: Client arrives in Emergency Department with worsening shortness of breath over the past week, strong productive cough with green-tinged sputum, and fatigue. Client has a history of  chronic obstructive pulmonary disease -emphysema; has been using their “relief” inhaler at home with no relief of symptoms. Client lives independently at home and states they smoke approximately 1 pack of cigarettes per day. Ambulatory, alert and oriented x 4. Has coarse crackles auscultated in bilateral lower lung fields with a barrel chest appearance, using accessory muscles, expiratory wheeze on auscultation. Client states they have “less room” to take a deep breath. Clubbing noted in all digits bilaterally. Vital Signs       Time  1000   Oral Temp  99.0 F (37.2C)   Pulse 104   Respiratory Rate 27   Blood Pressure 157/86   Pulse oximeter  91% Room air   Pain  0   Which condition is the client most likely experiencing?

A nurse is caring for a client with pneumonia who was prescribed ceftriaxone (Rocephin) oral suspension 600mg once daily. The medication label indicates that the strength is 125mg/mL. How many milliliters of medication will the nurse pour to administer the correct dose. State your answer as a whole number. Do not include mL in your answer.

Which client will potentially experience a diminished or delayed response to inflammation and wound healing?

A nurse is caring for a client diagnosed with pneumonia, dehydration, and a temperature of 101.4º F. The health care provider orders 1000mL of D5W to infuse over 8 hours. The calibration set is 20 drops/mL. The nurse will set the IV flow rate to deliver how many drops / minute? Round your answer to the nearest whole number.