A nurse cares for a client with congestive heart failure. The nurse administers a prescribed dose of furosemide intravenously after noting an increase in dyspnea and audible wheezing. The nurse’s action demonstrates which step in the nursing process?

A client nearing the end of life requests that they be given no food or fluids. The physician orders the insertion of a nasogastric tube to feed the client. What is the primary concern of the nurse providing care?

After a client falls out of bed, the nurse completes:

The nurse is caring for a client whose magnesium level is 3.5 mEq/L (1.75 mmol/L). Which assessment finding would the nurse most likely expect to note in the client based on this magnesium level?

A nurse is caring for a client who has developed third-spacing, evidenced by generalized edema, hypotension, and decreased urine output. Which of the following IV fluids should the nurse anticipate to help shift fluid back into the vascular space?

A nurse notices that the skin surrounding the IV site was reddish in color and showing signs of inflammation. The nurse recognizes this as what?

A nurse is caring for a client receiving oxygen therapy. Which of the following actions should the nurse take to prevent fire hazards in the client’s room?

A nurse is educating a preoperative client on how to cough effectively after abdominal surgery. What can the nurse tell the client to do to facilitate coughing?

A nurse is caring for a client with a chest tube after a pneumothorax. During assessment, the nurse notices continuous bubbling in the water-seal chamber. Which of the following is the priority nursing action?

An experienced nurse is mentoring a new nurse on the proper use of hand hygiene. What is an accurate guideline that should be discussed?