The new nurse observes the preceptor perform a cardiovascular assessment on a client admitted with coronary artery disease. Where does the preceptor place the fingers to assess the client’s posterior tibial pulse?

  The nurse is caring for a client in a medical-surgical unit and reviews the above assessment notes. Which is the priority question that the nurse should ask the client?

The client is experiencing respiratory distress, and the nurse places the client in a high Fowler position. Which action would the nurse take next?

A nurse in the emergency department is caring for a patient who had eaten shellfish and is now wheezing. What medication will the nurse anticipate being ordered?

A nurse is assessing a client with hypertension. Which assessment findings should the nurse document as objective data? Select all that apply.

The nurse is caring for a client receiving oxygen therapy via nasal cannula. The nurse notes the client’s oxygenation saturation is 89%, lips are cyanotic, and she is gasping while in a high fowler’s position. Which intervention should the nurse perform first?

A nurse is discussing sleep problems with a client. What type of food should the nurse recommend to promote sleep?

The medical chart of a newly admitted patient notes a penicillin allergy, yet the physician has just written an order for an antibiotic in the same drug family after reviewing the patient’s wound culture and sensitivity. How should the nurse respond to this situation?

A nurse is assessing the vital signs of a 68-year-old client who reports feeling “a little dizzy” when standing up. The nurse notes the following: Sitting BP: 132/78 mm Hg Standing BP: 108/64 mm Hg Heart rate: increases from 78/min (sitting) to 102/min (standing) Respirations: 18/min Temperature: 98.4 °F (36.9 °C) Which action should the nurse take first?

A nurse is assisting a client with dementia. What guideline is recommended when bathing this client?