A nurse is caring for a client at the healthcare facility. How can the nurse help the client
to follow the facility's rules during his stay at the facility?
A) Ask the client to wear gowns provided by the facility
B) Explain to the client the need for procedures at the facility
C) Ask the client to keep all his valuables in the facility's safe
D) Tell the client not to move out of his room without permission
B
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At the time of death, which finding is the nurse most likely to assess?
A) Lack of heartbeat B) Body temperature same as room temperature C) Rigor mortis D) Livor mortis
A client has a history of recurring respiratory tract infections and presents today with cough and purulent sputum. The client also complains of longstanding fatigue and weakness. The nurse would assess the client further for
a. a viral infection. b. asthma. c. bronchiectasis. d. tracheobronchitis.
What are the types of nursing assessments? (Select all that apply.)
A) Physical B) Focused C) Mental D) Emergency E) Comprehensive
The nurse assessing a client's chest tube insertion site notices a fine crackling sound and feeling upon palpating the area. What action should the nurse take?
A) Mark the area involved and remove the tube. B) Reinforce the chest tube dressing. C) Discontinue the chest tube suction. D) Collaborate with the client's physician.