No Trick just Treats
Appropriate action for a client with an increased body temperature.
Consult the physician and give antipyretics to the client
Purpose of assessing sensory skin perception using a cotton ball on various areas of the body
Ability to identify fine touch
Proper technique for assessing lung sounds on the upper back.
Facilitates hearing sounds in the upper and lower lobes
Identifying a contraindication for using a razor during hygiene care.
A man who has a history of stroke and who takes oral anticoagulants.
Recognizing a normal finding in a newborn during a wellness visit.
Documenting the finding as a "Mongolian spot"
Quantifying pitting edema based on assessment findings.
3+ pitting edema
Assessing neuromuscular function in a client with a wrist cast.
Monitor the mobility of the fingers
Providing culturally competent care for a client with a preference for personal space.
Explain the purpose and need for assistance during ambulation
Priority nursing intervention for an unconscious client with a potential overdose.
Establish a patent airway.
Effective communication techniques when assessing an older adult client's sensory
skin perception.
Approach the client from the front; Use the client's name; Smile and maintain eye contact.
Recognizing the tort committed by the nurse in a specific scenario.
Negligence
Appropriate action when suspecting neglect in an older adult client.
Immediately report the suspected abuse of the client.
Observing specific aspects during ambulation assistance with an assistive device.
Pallor, weakness, or dizziness
Potential consequence of wearing a cervical collar for a prolonged period.
Permanent neck stiffness
Understanding the implications of a positive colonization result for an antibioticresistant
microorganism.
The microorganism is present on the client but is not making her sick.
Identifying the priority concern for a client admitted after a suicide attempt.
Risk of self-harm
Identifying a normal, age-related change in older adults.
Gait and mobility issues
Appropriate method to determine client understanding after teaching.
Ask the client to recall after approximately 15 minutes
Purpose of placing a client in Fowler's position before dangling their legs for
ambulation.
To maintain safety should the client become dizzy or faint
Safe practice when caring for a client with dentures.
Hold dentures over a plastic basin or towel when cleaning them.
Priority nursing action before leaving a client's room after vital signs assessment.
Thorough handwashing.
Correct placement of stethoscope for auscultating apical heart rate.
Slightly below the left nipple.
Determining when to assess vital signs for a client reporting a change in how they feel.
Immediately
Identifying a subjective finding during a review of systems (ROS).
A client report of shooting pain up the left leg.
Identifying a significant risk factor for falls in older adults.
A woman who is prone to episodes of low blood pressure.