A school nurse is conducting scoliosis screenings. During the assessment of a 13-year-old girl, the nurse observes a lateral curvature of the spine and a one-sided rib hump when the child bends forward. The child's mother is present and states, "We follow a holistic lifestyle and prefer to avoid doctors. Can't we just use chiropractic care?" What is the nurse's most appropriate initial response?
A nurse in a psychiatric unit is caring for a client with severe depression and suicidal ideation. The client has been refusing food and fluids for the past 24 hours and remains isolated in their room. Which of the following nursing actions are the highest priority? (Select TWO)
A home health nurse is visiting a 78-year-old client who was recently discharged after a myocardial infarction. The client lives alone and has a new prescription for sublingual nitroglycerin. The nurse's assessment of the client's ability to self-manage this medication would be considered effective if the client makes which statement?
A nurse is caring for a client who is actively dying. The client's family members are arguing at the bedside about the client's plan of care, with one member insisting on aggressive treatment and another advocating for comfort measures only. The client does not have an advance directive. What is the nurse's most appropriate action?
A client at 32 weeks gestation presents to the labor and delivery unit with painless, bright red vaginal bleeding. The nurse should anticipate preparing the client for which immediate diagnostic procedure?
The charge nurse is making assignments for the medical-surgical unit. Which client is most appropriate to assign to a Licensed Practical Nurse (LPN)?
A community health nurse is planning a health promotion program for a community with a high prevalence of type 2 diabetes. Which intervention represents a primary prevention strategy?
True or False: A nurse who administers a medication based on a physician's order that is illegible and appears to be an unsafe dose is legally protected by the principle of 'following orders'.
A client with schizophrenia, paranoid type, tells the nurse, "The FBI is monitoring me through the television and they are sending me poison through the vents." Which response by the nurse is most therapeutic?
A nurse is caring for a client with a chest tube connected to a three-chamber drainage system. The nurse notes that the water in the water-seal chamber is not fluctuating with respirations. What is the nurse's priority action?