A nurse is caring for four clients. Which of the following client statements should the nurse attend to first? - "My heartburn pain is going into my jaw now." A nurse is caring for a client who is r... eceiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take? - Perform oral care every 2 hr. A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the following laboratory values should the nurse check prior to administering the medication? - - PT - INR A nurse is collecting data from a client who is at 9 weeks of gestation and has hyperemesis gravidarum. Which of the following findings should the nurse expect? - Weight loss A nurse is reinforcing teaching with a client about the importance of a low sodium diet. Which of the following foods should the nurse recommend as the best choice to include in a low sodium diet? - 2 tbsp of peanut butter A nurse is collecting data from an 18 month old toddler at a well child visit. Which of the following findings should the nurse report to the provider? - The toddler can say four words. A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicates that the client might be experiencing diabetic ketoacidosis? - Kussmaul respirations A nurse is reinforcing teaching with a client who has a permanent pacemaker in place. Which of the following statements by the client indicates an understanding of the teaching? - "I need to record my pulse rate daily." A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff member. Which of the following actions should the nurse take? - Document in the clients medical record every 15 min. A nurse is reinforcing teaching about self-administration of nasal drops with a client. Which of the following positions should the nurse recommend for instillation of the drops? - Supine A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following laboratory results should the nurse review prior to administering the medication? - Potassium [Show More]
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