This invasive procedure results in some edema to the vessel used for the procedure but assessing only one pedal pulse does not provide sufficient data to verify a complication. d. I'll use each cleansing wipe twice, d. I decline this opportunity at this time (assertive because it contains an "I" statement and it is clear and firm), 52. The charge nurse on each unit needs to prepare a list of possible discharges or transfers to be given to the appropriate primary healthcare providers for further action. This item: Nursing Brain Sheet Multiple Patient Notebook - Nurse and CNA Report Sheet - 3 Patients per Template $1999 BadgeGuru by Tribe RN - 52 Cheat Sheets on 26 Nurse Badge Cards - Designed by Nurses, for Nurses - Essential for Nurses and Nursing Students - Bonus Access to Our Digital Resource Library - Inverted $1997 ($0. c. Environment A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. b. d. Routine acquisition of a urine specimen This client should report an improved respiratory, not shortness of breath. b. A nurse is having difficulty caring for a client due to variables affecting the communication process. Assist client to brush and floss teeth. This determination is needed to assure client safety is being considered. a. The charge nurse should be informed that the delegated intervention is not appropriate according to the state's Nurse Practice Act. d. I will take my medications at the first sign of an attack, d. To identify delayed gastric emptying (the nurse should measure the amount of unabsorbed formula from the previous feeding to identify delayed gastric emptying; if it is delayed the nurse should avoid overfeeding the client and causing gastric distention), 42. Hanging a new bag of total parenteral nutrition (TPN). The nurse caring for the client at the time of death requests organ donation Which of the following activities should the nurse perform in this zone? Provides day to day direction and supervision to assigneddirect patient care staff . 3. a. c. Inform the surgical team to cancel the client's surgery