The nurse places a client in isolation. Isolation techniques have the potential to break the chain of infection by interfering with what component of the chain of infection?

The nurse is caring for a client in the ICU who has a brain stem herniation and who is exhibiting an altered level of consciousness. Monitoring reveals that the client’s mean arterial pressure (MAP) is 60 mm Hg with an intracranial pressure (ICP) reading of 5 mm Hg. What is the nurse’s most appropriate action?

The nurse has completed the admission assessment of a client and has determined that the client’s body mass index (BMI) is 33.5 kg/m2. What health promotion advice should the nurse provide to the client?

A client’s electrocardiogram reveals an irregular rhythm of 75 bpm with a normal QRS and P wave. The nurse who is caring for the client should anticipate:

A nurse is caring for an 83-year-old client who is being assessed for recurrent and intractable nausea. What age-related change to the GI system may be a contributor to the client’s health complaint?

During the care conference for a client who has multiple chronic conditions, the case manager has alluded to the principles of the interface model of disability. What statement is most characteristic of this model?

A home health nurse is caring for a client with multiple myeloma. What intervention should the nurse prioritize when addressing the client’s severe bone pain?

The nurse caring for a client post colon resection is assessing the client on the second postoperative day. The nasogastric tube (NG) remains patent and continues at low intermittent wall suction. What assessment finding would suggest that the client’s potassium levels are too low?

A client with diabetes is attending a class on the prevention of associated diseases. What action should the client perform to reduce the risk of osteomyelitis?

The nurse is admitting a client to the unit who is diagnosed with a lower motor neuron lesion. What entry in the client’s electronic record is most consistent with this diagnosis?