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While making morning rounds on the pediatric unit, the nurse encounters a frustrated parent. The parent's 8-year-old child, who was admitted yesterday for acute respiratory distress, has wet the hospital bed overnight despite being completely toilet trained for several years. The parent asks, "Why is my child acting like a baby again?" What is the most therapeutic response by the nurse?

During the admission process of a 72-year-old client, the nurse gathers data through various physical examination methods. Which of the following practices reflect appropriate execution and interpretation of the physical assessment? Select all that apply.

A community health nurse is establishing a care plan for a family caring for a 10-year-old child with severe autism spectrum disorder and new-onset seizure disorder. The parents report profound exhaustion, social isolation, and escalating conflict with their 14-year-old neurotypical child. Which nursing interventions demonstrate a comprehensive approach to optimizing this family's support system? Select all that apply.

A nurse preceptor is evaluating a graduate nurse's ability to perform physical assessments and interpret clinical findings across a diverse group of clients on a medical-surgical unit. Which of the following documented actions by the graduate nurse indicate a correct application of assessment principles? Select all that apply.

A nurse is caring for a client who has just delivered a stillborn infant at 39 weeks of gestation. The client and their partner are weeping and expressing overwhelming sorrow. Arrange the following nursing interventions in the order they should be implemented to best facilitate the grieving process and provide appropriate care.

A client in the intensive care unit has suffered a catastrophic neurological injury. The clinical assessment reveals an absence of brainstem reflexes, and the healthcare provider is preparing to conduct formal brain death testing. Arrange the following interdisciplinary and nursing actions in the correct chronological sequence to appropriately support the family's grieving process and adhere to organ donation protocols.

An 85-year-old client is admitted to the medical-surgical unit from a skilled nursing facility with generalized weakness and a suspected systemic infection. During the initial evaluation, which action by the registered nurse indicates proper adherence to health assessment standards?

A nurse is reviewing behavioral assessments for five clients on a psychiatric and medical-surgical unit. Match each client's clinical presentation (objective cues and verbal statements) to the specific defense mechanism being utilized.

During a routine cardiovascular check, a nurse needs to evaluate a client for carotid bruits. What is the appropriate method to conduct this evaluation?

A nurse is caring for a postoperative client who is currently receiving a continuous transfusion of packed red blood cells through a 20-gauge peripheral intravenous (IV) catheter. The client reports sudden, severe incisional pain rated 9 on a 0-to-10 pain scale. The healthcare provider has prescribed as-needed intravenous push hydromorphone for severe pain. Which action should the nurse take next?

Match each therapeutic communication technique with the corresponding example of a nurse's statement.

A nurse is caring for a client with a pulmonary embolism who requires a continuous IV infusion of heparin. The client's weight is $176\text{ lbs}$. The healthcare provider prescribes heparin at a rate of $18\text{ units/kg/hr}$. The available medication is heparin sodium $25,000\text{ units}$ in $250\text{ mL}$ of $0.9\%$ sodium chloride. What rate should the nurse program into the infusion pump in $\text{mL/hr}$? Record your answer using one decimal place.

An oncology nurse is evaluating a client newly diagnosed with advanced colon cancer. The client states, "I have not told my partner about the diagnosis yet. They struggle with severe anxiety, and hearing this news will completely overwhelm them. I plan to handle my chemotherapy appointments on my own." Which response by the nurse is most appropriate?

An adult client is admitted to the inpatient behavioral health unit following a severe depressive episode triggered by an unexpected job termination. The client is observed pacing the common area, smiling tightly, and states to the nurse, 'I really do not understand why my family brought me here. I am just on a short sabbatical. My employer is restructuring and will definitely call me back with a promotion soon.' Which response by the nurse is the most therapeutic?

A client who was recently diagnosed with type 2 diabetes mellitus tells the clinic nurse, "I will never be able to eat any of my favorite foods again. Having to follow this strict diet is going to ruin my life." Which of the following is the most therapeutic response by the nurse?

A nurse is caring for a client who is prescribed a continuous intravenous (IV) infusion of $1,000$ mL of $0.9\%$ sodium chloride to infuse over $8$ hours. The nurse should set the IV infusion pump to deliver how many mL/hr? (Record answer as a whole number. Do not use a trailing zero.)

A nurse is performing a focused respiratory assessment on a client presenting with a mild cough at an outpatient clinic. Arrange the following physical assessment techniques in the correct chronological order for examining the client's posterior thorax.

Following a fatal motor vehicle collision, a trauma nurse is attending to the family of a young adult who did not survive the injuries. Upon receiving the news of the death, the client's mother begins pacing the family counseling room, crying out loudly, and shouting, 'There must be a mistake! He was just with me this morning! This isn't real!' Which of the following is the most appropriate initial nursing action?

A client is admitted to the medical-surgical unit after experiencing a sudden loss of vision in the right eye. The client is pacing the room, crying, and states, "I cannot live like this! I will never be able to work again." The nurse recognizes the client is experiencing acute stress. Which of the following nursing interventions are appropriate to promote adaptive coping? Select all that apply.

A registered nurse is conducting a comprehensive physical assessment on a 77-year-old client in a primary care clinic. Which action by the nurse demonstrates the correct execution of assessment techniques?