Review the notes below for 1000 and 1100- identify if the client’s condition has Improved or Worsened Nurses notes at 1000: Client is admitted with a productive cough for thick yellow sputum. Breath sounds with crackles heard in left upper lobe and decreased breath sounds at bases bilaterally.  Mucous membranes pale.  Vitals are as listed:  T-100.8°F oral. BP 114/56 mm Hg, supine Apical HR 99/min R 32/min Pulse oximetry 85% on room air.   Nurses Notes at 1100 Client has a productive cough for thick yellow sputum. Breath sounds with crackles heard in left upper lobe and decreased breath sounds at bases bilaterally. Mucous membranes pink. Vitals are as listed:  T -99.0°F oral. BP 112/54 mm Hg, supine Apical HR  90/min R 22/min Pulse oximetry 95%  3Liters of Oxygen

You are completing an assessment on Mr. Stitch in room 434.  Which assessment finding will you record as normal when charting the findings of the assessment?

What type of bath should be considered for this patient: A 46-year-old patient was admitted with lung problems and gets very short of breath with any movement. 

A nurse is preparing to perform a physical examination on a client. Which of the following interventions should the nurse perform to ensure client privacy?

A nurse is taking a class on leadership in the nursing profession. Which of the following should the nurse identify as a quality of an effective nurse leader?

The client diagnosed with pneumocystis carinii pneumonia (PCP) is being admitted to the intensive care unit. Which of the following actions should the nurse perform first?    

Identify the following situations and select the number beside the situation that would require the completion of an incident report.  1. A patient falls in the facility. 2. A patient leaves the hospital without telling the hospital staff.  3. A medication error. 4. The patient refuses to take the medications ordered.   

A male client diagnosed with schizophrenia is having positive symptoms associated with his illness.  All of the following are positive symptoms EXCEPT?

The nurse is completing a history and physical of an adolescent diagnosed with a conduct disorder.  What assessment findings would the nurse associate with this condition?  SELECT ALL THAT APPLY.   

Upon assessment of your client’s rhythm, you note pulseless ventricular tachycardia. What should be the first intervention?