You are the nurse caring for Anna George, an 84-year-old client. Anna has multiple co-morbidities and easily tires with activity. Which of the following puts this patient at higher risk of developing a pressure injury? Select all that apply.

A nurse is caring for a client who reports dizziness when standing up. The client’s blood pressure after lying supine for 15 minutes is 136/86 mm Hg in the left arm. Which of the following findings would indicate the client is experiencing orthostatic hypotension? 

When performing a situational assessment of the patient’s environment, which of the following need addressed by the nurse? Select all that apply.

What is the proper technique for the nurse to utilize when assisting a client to a sitting position on the side of the bed ?

Which of the following is a reason for providing a back massage to a patient?

The clients Braden scale score is 10. Which nursing actions should be included in the plan of care? Select all that apply.

When caring for a patient from Chinese background, the nurse should recognize the following as a typical nonverbal response to illness?

You observe that a client is having Cheyne-stokes respirations. Which documentation best describes the clients breathing?

The nurse is assessing the skin of an older client and notices dry skin and several areas with superficial scratches. Interventions should be implemented to meet what patient goal/outcome?

A nurse is interviewing a newly admitted patient. Which question is considered culturally sensitive?