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The nurse is caring for a patient that has undergone spinal surgery and must be logrolled.  What is a risk for the immobilized patient if the nurse repositions the patient without assistance?

The nurse is assessing a patient who is experiencing pain. Which finding supports the patient has acute pain?

The student nurse is assessing vital signs on a post-operative patient who underwent internal hemorrhoid surgery.  The patient is very lethargic. Which action by the student causes the instructor to intervene and reinforce education on proper vital signs assessment?

Which item does the nurse identify as being acceptable when providing a clear liquid diet?

What is the proper technique for administration of a tuberculin test?

The nurse is educating a patient with recurrent urinary tract infections.  Which would the nurse include in the teaching?

The nurse is caring for a patient who suffered a gunshot wound to the abdomen.  The nurse notes the following vital signs: T 97.9 F (Temporal), P 126 and irregular, R 26 and shallow, BP 82/48, and O2 sat 86% on 12 L/min via a non-rebreathing mask.  The nurse is unable to assess pain due to the patient being unconscious. What is the nurse’s primary concern with this patient?

A nurse has just administered a medication to a patient using a syringe that is not a safety syringe. How should the nurse dispose of the needle and syringe safely?

A patient is complaining of nausea and has vomited 250mL greenish emesis.  It is time for morning med pass. What is the nurse’s next action?

A nurse is supervising a student nurse who is providing patient education. For which reaction to the patient’s return demonstration should the nurse intervene?