The nursing supervisor will notify the nurse-manager at home.
The nurse-manager is off duty; therefore, she need not be notified.
The nurse-manager should be informed when she returns to duty.
The nursing supervisor decides to call the off-duty nurse-manager if time permits
Measuring and recording fluid intake and output
Weighing the client daily at the same time each day
Assessing the client's vital signs every 4 hours
Checking the client's lungs for crackles during every shift
Notify the physician that the wound may be dehiscing.
Apply normal saline solution to keep the wound moist.
Do nothing because this is granulation tissue.
Prepare the client for debridement of the suture line.
Administer pain medication and delay client activity.
Tell the client why lung expansion is important.
Arrange a care schedule that includes rest periods.
Teach the client how to use an incentive spirometer.
Parallel to the bed on the right side
Perpendicular to the bed on the right side
Parallel to the bed on the left side
Parallel to the bed on either side
Receiving a portion of the revenue to improve client services on the unit
Identifying revenue as profit
Dividing revenue among stockholders as dividends
Reducing operating expenses to help the organization pay taxes on the revenue
Recapping needles after use
Wearing a gown when bathing a client
Wearing gloves when administering I.M. medication
Wearing gloves for all client contact
Tell the charge nurse she feels hurt by her statement.
Tell the charge nurse she needs to be more specific about what she means.
Discuss her feelings with a coworker in order to vent.
Ask for a private meeting to explore the charge nurse's concerns in detail.
Increasing fluids to 2,500 ml/day
Teaching the client how to deep-breathe and cough
Improving airway clearance
Suctioning the client every 2 hours
Exhibiting a positive change in behavior
Verbally repeating the instruction
Making statements indicating understanding
Exhibiting nonverbal signs such as nodding the head to indicate "yes"
At the top of the wound
In the middle of the wound
At the base of the wound
Over the total wound
The nurse stands an arm's length away from the client.
The nurse uses a rocking motion while helping the client to stand.
The nurse keeps her knees straight and stiff and bends at the waist.
The nurse keeps her feet as close together as possible.
Turning the client every 2 hours
Elevating the head of the bed 30 degrees
Encouraging increased fluid intake
Maintaining a cool room temperature
I will administer the enema while sitting on the toilet.
I will administer the enema while lying on my left side with my right knee flexed.
I will administer the enema while lying on my right side with my left knee flexed.
I will administer the enema while lying on my back with both knees flexed.
Repositioning the client every 2 hours
Restricting fluids to 1,000 ml/24 hours
Administering oxygen by nasal cannula as ordered
Keeping the head of the bed at a 30-degree angle
Irrigate continuously until the solution becomes clear.
After the irrigation, moisten the area around the wound with normal saline.
After the irrigation, apply a wet-to-damp dressing to the wound.
Rapidly instill a stream of irrigating solution into the wound.
On protective isolation.
On neutropenic precautions.
In a negative-pressure room.
On contact isolation.
Scheduling staff assignments for the next month
Terminating a nursing assistant for insubordination
Deciding on salary increases for nurses after they complete orientation
Telling a staff nurse to initiate disciplinary action against one of her peers
Keep the area covered with the warm soaks.
Remove the warm compress for at least 15 minutes after each 20-minute application.
Alternate warm compresses with cold compresses.
Question the order because heat increases edema.
Tell the primary nurse that the new nurse must finish orientation within 6 weeks because of a staffing shortage.
Meet with the new nurse and the primary nurse and help set up an additional week of orientation.
Fire the new nurse because the unit is short-staffed and needs nurses who can complete the orientation process in the normal length of time.
Schedule a staff meeting to find out if there are deficiencies or flaws in the orientation process.
Refuse to float to the ICU.
Notify the nursing supervisor that she feels unqualified and untrained for the assignment.
Report to the ICU and accept a total client assignment; ask the nurses for assistance when necessary.
Report to the ICU, tell the ICU nurses she has never worked in the ICU, and let the nurses decide what tasks she can perform.
Participating in a cardiac rehabilitation program
Having an annual physical examination
Practicing monthly breast self-examination
Avoiding overexposure to the sun
Fluid intake and output.
Urine specific gravity.