The nurse is caring for a patient who suffered a gunshot wound to the abdomen.  The nurse notes the following vital signs: T 97.9 F (Temporal), P 126 and irregular, R 26 and shallow, BP 82/48, and O2 sat 86% on 12 L/min via a non-rebreathing mask.  The nurse is unable to assess pain due to the patient being unconscious. What is the nurse’s primary concern with this patient?

The nurse is caring for a patient who suffered a gunshot wound to the abdomen.  The nurse notes the following vital signs: T 97.9 F (Temporal), P 126 and irregular, R 26 and shallow, BP 82/48, and O2 sat 86% on 12 L/min via a non-rebreathing mask.  The nurse is unable to assess pain due to the patient being unconscious. What is the nurse’s primary concern with this patient?

A patient is complaining of nausea and has vomited 250mL greenish emesis.  It is time for morning med pass. What is the nurse’s next action?

A nurse is supervising a student nurse who is providing patient education. For which reaction to the patient’s return demonstration should the nurse intervene?

The nursing instructor is reviewing documentation with a group of students. Which statement(s) should the instructor include as the purpose of written documentation? Select all that apply.

A nurse is supervising a student nurse who is providing patient education. For which reaction to the patient’s return demonstration should the nurse intervene?

The home health nurse is caring for an elderly patient who states, “I am so afraid of getting sick. My spouse died after getting a cold.” Which suggestion will the nurse make to help the patient maintain good respiratory health?

The home health nurse is caring for an elderly patient who states, “I am so afraid of getting sick. My spouse died after getting a cold.” Which suggestion will the nurse make to help the patient maintain good respiratory health?

When preparing for medication administration, how many checks does the nurse recalls as being essential to deliver medication safely?  

The nurse enters the room to reassess a patient who received an intramuscular injection for pain 20 minutes ago.  The nurse notes the following:      What should the nurse do next?