Which expected outcome or goal should a nurse identify for a client with the nursing diagnosis of risk for injury related to lack of awareness of environmental hazards?

After emptying urine from the bedpan of a client whose urinary output is being monitored, which step should a nurse do next?

After making the bed of a client with dementia, which action has priority?

Which factor does a nurse identify as a major cause of metabolic alkalosis in a client who had a colon resection?

A client admitted with hypoparathyroidism is being monitored for hypocalcemia. Which finding would the nurse observe with hypocalcemia?

Which condition indicates to a nurse that a sterile field has been contaminated?

Which client is at greatest risk for developing respiratory alkalosis?

What is the best action by a nurse when talking with a client diagnosed with prostate cancer who is tearful and having difficulty talking about his concerns?

Which patient outcome or goal should a nurse identify for a client with the nursing diagnosis of risk for disuse syndrome?

An intake nurse at a mental health facility is admitting a client with psychosis. Which assessment technique is most valuable to use when planning this client’s care?

A nurse observes that a client with a below-the-knee amputation on the third postoperative day refuses to look at the stump and changes the subject when the nurse attempts to discuss its care. Which nursing diagnosis should the nurse use to address this situation?

A school nurse is called to assess a preadolescent Vietnamese girl attending a new school. A teacher tells the nurse the student sits in the back of the class and won’t speak when spoken to, although her parents confirmed the student speaks English. Which assessment finding is most likely?

Which nursing diagnosis is appropriate for a client with chronic obstructive pulmonary disease who is anxious, dyspneic, and hypoxic?

Which nursing intervention is used during assessment of an elderly client?

Which nursing intervention is used during assessment of a pediatric client?

Which is a sign that a client with a new diagnosis of breast cancer is having difficulty coping?

A nurse is assessing a client with manic-depressive disorder. The client tells the nurse his family physician prescribed lithium. Which symptom indicates the client is developing lithium toxicity?

An educational forum about relaxation techniques is provided for college students preparing for their final exams. Which relaxation technique is most effective to counteract anxiety?

In preparing an educational intervention for college students, a nurse understands that drinking alcoholic beverages is often used to relieve which condition?

Which statement is a wellness nursing diagnosis?

Which intervention should a nurse perform for a client with respiratory alkalosis?

The parents of a 9-year-old child diagnosed with oppositional defiant disorder (ODD) are discussing treatment options with the nurse. Which action would the nurse expect to have the most positive impact on managing the child’s behavior?

A school nurse is screening for hearing and vision with a group of 11- to 13-year-old students. Which technique is used to communicate effectively with this age group?

A nurse practitioner at a rural health clinic is screening an 18-month-old infant for developmental problems. Which developmental screening test is the most appropriate?

Which nursing action should be included in the plan of care to prevent an increase in intracranial pressure (ICP) in a comatose client with a closed head injury?

During a home health visit, a nurse assesses a client’s medication and notes the client has two prescriptions for fluid retention. One prescription reads, “Lasix, 40 mg, one tablet daily.” The next prescription reads, “Furosemide, 40 mg, one tablet daily.” Which instruction is given to the client?

The nurse is reviewing the laboratory results from a female diabetic client admitted to the acute care facility with dehydration. Which laboratory result is consistent with a diagnosis of dehydration?

A client with heart failure is given furosemide (Lasix) 40 mg I.V. daily. The morning serum potassium level is 2.8 mEq/L. Which nursing action is the most appropriate?

A 40-year-old female client is admitted to a women’s shelter after being raped by her estranged husband. The client describes the traumatic event. Which response by the nurse is best?

A 42-year-old client who underwent a right modified mastectomy with insertion of a Hemovac drain will be hospitalized overnight because of minor complications. Which goal statement should the nurse include in the plan of care?