The patient with a chest tube on suction becomes delirious and climbs out of bed causing the chest tube to become dislodged. Which of the following actions should the nurse take first?

The labor and delivery nurse is assigned to a 25-year-old G2P1 female with a viable intrauterine pregnancy at 40-weeks estimated gestational age. After the patient had PROM, dark green fluid was noted, which was not malodorous. Which of the following terms does the nurse use to document this finding?

The mother of the 7-week-old infant reports the baby has had fewer and fewer wet diapers and hasn’t stooled in 3 days despite having a ravenous appetite. The mother reports that the child has been vomiting with increasing force and volume over the past two weeks. The emesis just appears to be partially digested breastmilk and fluid. The infant appears well, but mucous membranes are dry, the child has a low-grade fever, and is tachycardic. Upon palpation of the abdomen, a small, olive-shaped mass is appreciated. A serum electrolyte panel reveals a sodium of 132, potassium of 2.7, chloride of 89, and a glucose of 92. The nurse performs which nursing action first?