The nursing instructor is reviewing documentation with a group of students. Which statement(s) should the instructor include as the purpose of written documentation? Select all that apply.

The nurse is preparing to administer an ordered enema to a patient. Which intervention by the nurse is correct for this procedure?

The nurse is providing ileostomy care and notes the following: pale stoma, collecting pouch filled with greenish liquid stool and large amount of flatus, and a reddened area under the adhesive of the appliance. Which assessment finding should the nurse report immediately? 

The home health nurse is caring for an elderly patient who states, “I am so afraid of getting sick. My spouse died after getting a cold.” Which suggestion will the nurse make to help the patient maintain good respiratory health?

What steps are included in providing oral care to a patient who has dentures?

A nurse is preparing to give medications and discovers a large dose for this patient. What is the next course of action?

The nurse is developing a care plan for a client receiving enteral nutrition. Which place(s) the client at increased risk for aspiration?      (Select All That Apply)

The nurse is caring for a patient with difficulty swallowing.  What is the best position for this patient while eating?

A hospitalized patient has an order for subcutaneous heparin. What is the best technique to administer this medication?

A student nurse encounters an unresponsive patient in a waiting room.  The patient is not breathing and has no pulse or respirations.  What is the next step the student nurse should take?