When assessing a client’s vital signs, the nurse should expl…

When assessing a client’s vital signs, the nurse should explain each of her next actions before assessing the client’s temperature, pulse, and blood pressure. However, the nurse has not announced her intention to assess the client’s respiratory rate before measuring it. Which of the following is a plausible rationale for the nurse’s decision?

The client’s venous ulcer has become reddened with purulent…

The client’s venous ulcer has become reddened with purulent drainage. The nurse has ascertained from her assessment that the client was confused about how to properly change the dressing and has been reusing bandages. Utilizing the subjective information presented, which response tells the nurse the client requires more education? Client states