A client complains of excessive flatulence. The nurse teaches the client about foods that may cause flatulence. Which selection of food, if made by the client, would indicate further teaching is needed?

A nurse is teaching a client postoperative coughing and deep-breathing exercises. What is the most important information to include?

A client with acquired immunodeficiency syndrome (AIDS) requires assistance with oral care. What is the most appropriate intervention by the nurse?

A client on complete bed rest complains of excessive flatulence. What is the best position for the nurse to place the client in?

The nurse is performing percussion and postural drainage on the left lower lobe of a client diagnosed with pneumonia. The nurse is aware that the client should be placed in which position?

The client is complaining of moderate pain. Which assessment by the nurse indicates a physiological response to pain?

The nurse obtains a client’s stool sample for occult blood. Which of the following diets can cause a false-positive test result?

What is the initial action of a nurse when preparing to insert a nasogastric (NG) tube?

Two hours after starting total enteral nutrition (TEN) through a nasogastric tube, a client starts to have abdominal distention. Which action should the nurse take first?

A nurse is removing an indwelling urinary catheter from a client. Which action is appropriate?

As a nurse is inserting a nasogastric tube, the client begins to gag. Which action should the nurse take?

A new graduate nurse is assigned to a nursing unit. The nurse-manager notes that the graduate’s skills are deficient. Which action is most appropriate for the nurse-manager to take?

The nurse is collecting a urine specimen from a client’s indwelling urinary catheter. Which action should the nurse take?

A client with type 1 diabetes mellitus is confused, weak, diaphoretic, and has palpitations. What action should the nurse take first?

Which care plan goal statement is written appropriately?

A nurse is preparing to bathe a client who is hospitalized for emphysema. What is the most important intervention by the nurse?

Which statement by a client who had nasal surgery indicates to the nurse that the client needs further teaching about postoperative care?

Which nursing action is correct for performing tracheal suctioning?

A nurse has identified ineffective airway clearance as a nursing diagnosis for a client with pneumonia. Which goal would be appropriate for this client?

The nurse is assessing a 40-year-old client who is scheduled to have elective facial surgery later in the morning and notes a pulse rate of 130 beats/minute. The nurse suspects the increased pulse rate is the result of which of the following?

While performing nasopharyngeal suction, a nurse notes a client’s oxygen saturation reading is 86% by pulse oximeter. What is the most appropriate action by the nurse?

A thin client is sitting up in bed talking on the phone and has a blood pressure of 90/50 mm Hg. Which nursing action is correct?

Immediately after a client’s cardiac catheterization via the femoral artery, the client is being assessed by the nurse. Which assessment finding would the nurse report immediately to the physician?

Which step, if taken by a nurse after insertion of a nasogastric (NG) tube, could harm the client?

A client is hospitalized with an acute sinus infection. Which assessment made by the nurse indicates serious complications?

Which assessment data should a nurse report to the physician?

Which observation indicates to a nurse that a client understands his instructions on crutch walking?

Which assessment finding should alert a nurse to a potential problem in a client who has received morphine I.V. for postoperative pain?

A client recovering from a knee replacement has normal saline solution ordered to run at 125 ml/hour I.V. The I.V. bag was hung at 8:00 a.m. It’s now 3:00 p.m., and 300 ml have been infused. A nurse has just come on her shift at 3:00 p.m. Which action is correct?

A client on a cardiac monitor has a heart rate of 170 beats/minute, with frequent premature contractions. Which nursing action is best?