47. A client who has sustained a crush injury to the right lower leg reports numbness and tingling of the affected extremity. The skin of the right leg appears pale. Which is the nurse’s first intervention?

26. What is the best initial action by the nurse to verify the placement of an oral endotracheal tube (ET), into the airway, after insertion?

24. During the emergent phase of burn care, which assessment is most useful in determining whether the patient is receiving adequate fluids?

29. A patient who has burns on the arms, legs, and chest from a house fire has become agitated and restless 8 hours after being admitted to the hospital. Which action would the nurse take first?

11. After being hospitalized for 3 days with a right femur fracture, a patient suddenly develops shortness of breath and tachypnea. The patient tells the nurse, “I feel like I am going to die!” Which action should the nurse take first?

45. The nurse is assessing a client with a laceration on the forearm. The wound is clean and superficial. What is the most appropriate nursing action for wound care?

22. A patient who had arthroscopic surgery of the right knee 7 days ago is admitted with a red, swollen, hot knee. Which assessment finding should the nurse report immediately to the health care provider?

18. Which laboratory result should the nurse monitor to determine if prednisone has been effective for a patient who has an acute exacerbation of rheumatoid arthritis?

15. Which nursing action can the nurse delegate to experienced unlicensed assistive personnel (UAP) who are working in the diabetic clinic?

42. An older adult client is admitted to the hospital after a fall. The nurse identifies a risk for impaired mobility. What intervention should the nurse prioritize to prevent further decline in mobility?