When documenting a patient's response to pain medication, which entry is most appropriate and objective?

A child with a ventriculoperitoneal (VP) shunt is admitted with symptoms of increased intracranial pressure (ICP). Which sign is most indicative of shunt malfunction?

A nurse is assessing a newborn for signs of hypoglycemia. Which clinical manifestation should the nurse expect?

The nurse is teaching a patient with chronic bronchitis about preventing exacerbations. Which instruction is most important?

Which principle is paramount when performing a sterile procedure?

What is a common complication of IV therapy that presents with redness, warmth, swelling, and pain at the insertion site?

A nurse is teaching a client about risperidone. Which instruction is most important for the nurse to include?

A 10-year-old child presents to the emergency department with acute abdominal pain. The nurse suspects appendicitis based on which classic symptom?

A nurse is receiving report on four post-operative patients. Which patient should the nurse assess first?

When suctioning a tracheostomy, which action is essential for the nurse to perform?

A nurse is caring for a client with anorexia nervosa. Which assessment finding requires immediate intervention?

The nurse is providing discharge instructions to the parents of a 12-month-old infant with iron deficiency anemia. Which food choice is best to recommend?

Which action best exemplifies effective care coordination for a patient being discharged home after a stroke?

A licensed nurse has asked an unlicensed nursing assistant to feed a patient who is ordered full liquid diet. The licensed nurse should instruct the nursing assistant that which of the following items are permitted on this type of diet? Select all that apply:

In the emergency department, which patient requires immediate attention by the nurse?