A nurse is assessing a client with sensory impairments. Which findings suggest the need for further evaluation of communication ability? Select all that apply.
A client with a history of end-stage renal disease requiring…
A client with a history of end-stage renal disease requiring dialysis presents for emergency surgery after sustaining a traumatic injury. The nurse evaluates the client’s surgical risk. What ASA classification should the nurse assign?
The nurse is evaluating the effectiveness of interventions f…
The nurse is evaluating the effectiveness of interventions for a client with sensory deficits. Which client responses indicate the need for further intervention? Select all that apply.
A PACU nurse is assessing a client recovering from spinal an…
A PACU nurse is assessing a client recovering from spinal anesthesia. What intervention is most appropriate to ensure client comfort and safety?
A nurse is analyzing assessment data from a client with diab…
A nurse is analyzing assessment data from a client with diabetic neuropathy who reports numbness and tingling in the lower extremities. The nurse determines that which nursing diagnosis is most appropriate?
A perioperative nurse is preparing a client for surgery in a…
A perioperative nurse is preparing a client for surgery in an ambulatory surgical center. What aspect of perioperative nursing has the most significant impact on this setting compared to inpatient surgery?
A client who has been on bed rest for two weeks reports feel…
A client who has been on bed rest for two weeks reports feeling confused, anxious, and has difficulty concentrating. The nurse suspects sensory deprivation. What findings support this suspicion? Select all that apply.
A nurse is performing a skin assessment on an immobile clien…
A nurse is performing a skin assessment on an immobile client and observes an area on the sacrum. The skin is intact, but there is a localized, nonblanchable area of erythema. Upon palpation, the nurse notes the area feels firmer and is slightly warmer than the surrounding skin. There is no purple or maroon discoloration. How should the nurse correctly stage this pressure injury?
A nurse is reviewing the benefits of preoperative education…
A nurse is reviewing the benefits of preoperative education with a client. Which outcomes are associated with preoperative teaching? Select all that apply.
A client with chronic kidney disease is undergoing surgery….
A client with chronic kidney disease is undergoing surgery. The nurse anticipates the highest risk for which postoperative complication?