A patient with pneumonia in the right lower lobe is prescribed percussion and postural drainage. When performing percussion and postural drainage, the nurse should position him:

The licensed practical nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?

A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

A client is having a CAT scan and is worried about being in an enclosed space for the test. The client also states that antianxiety medications cause confusion. The client asks if there are other ways of helping control the fear while the scan is being done. The client reports attending yoga classes and finds guided imagery very relaxing. What is the nurse's best action to take with this client?

Which laboratory test result supports the diagnosis SLE?

A client who takes tranylcypromine (Parnate) is changed to fluoxetine (Prozac). Which manifestation indicates a serious interaction between these two medications?

A client has just been admitted to the medical unit and the nurse is performing an initial physical assessment. The nurse finds that the client has difficulty hearing questions. The nurse also notices an empty glasses case that was sent up with the client from the emergency department. Based on this information, which action should first be taken by the nurse?

A client has received platelet infusions. Which finding would indicate the most therapeutic effect from the transfusions?

A 36-year-old patient complains of fatigue, weight loss, and a low-grade fever. He also has pain in his fingers, elbows, and ankles. Which condition is suspected?

A pediatric client is admitted with Munchausen's syndrome by proxy. The nurse would expect the child to have:

A patient in the postoperative phase of abdominal surgery is to advance his diet as tolerated. The patient has tolerated ice chips and a clear liquid diet. As the next step, the nurse would expect the patient to advance to:

During routine hygiene care for a patient with AIDS, a nurse following standard precautions would take which action?

The nurse cares for a client with end-stage liver disease due to cirrhosis secondary to alcohol abuse. The nurse monitors the client for which potentially life-threatening complication of cirrhosis?

A 72-year-old patient is being discharged from same-day surgery after having a cataract removed from his right eye. Which discharge instruction should the nurse give the patient?

A client with COPD is in respiratory failure. Which of the following results would be the most sensitive indicator that the client will probably be placed on a mechanical ventilator?

Which of the following dysrhythmias is most likely to occur during suctioning?

The nurse is discharging a client who is diagnosed with gout. The nurse recognizes further teaching is necessary when the client states:

A 6-month-old client is admitted with possible intussusception. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis?

The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care?

A client is brought to the emergency department by ambulance in an altered state of consciousness. The client does not answer questions appropriately, is alternately agitated and drowsy, and speaks loudly and incoherently at intervals. The client's significant other arrives in the emergency department and asks the nurse for the results of the client's urine drug screen. The client's significant other states that the client has used illegal drugs in the past. The significant other needs the information for personal safety and the safety of the couple's children. What is the best response by the nurse to the request for the results of the urine drug screen?

A primigravid client at 36 weeks' gestation tells the nurse that she has been experiencing insomnia for the past 2 weeks. Which of the following suggestions would be most helpful?

A client comes to the physician's office for a follow-up appointment. The nurse notes that the client is using correct cane walking technique. However, the nurse also notes that the client appears to lose balance each time the quad cane is lifted off of the floor and, upon examination, finds bruises on the client's arms and legs. The nurse asks the client about use of the cane at home. The client reports a history of recent falls. The client asks the nurse not to tell the physician because the client does not want to end up in "a home." What is the best action for the nurse to take?

The foundation of crisis intervention is the development of a state of understanding and comfort between client and nurse. This is known as:

The nurse teaches an alcoholic client the signs and symptoms of alcohol withdrawal. Which statement by the client indicates that he understands the teaching?