During the shift report, the nurse learns that an older client is unable to maintain continence after sensing the urge to void and the client becomes incontinent on the way to the bathroom. Which nursing diagnosis is most appropriate?
A nurse is giving instructions to a client who had a surgica…
A nurse is giving instructions to a client who had a surgical correction of a bunion. Which of the following information should the nurse include?
The client had abdominal surgery two days ago. Which is the…
The client had abdominal surgery two days ago. Which is the best nursing action when assessing for the presence of bowel sounds?
When applying Standard Precautions (Tier i) what interventio…
When applying Standard Precautions (Tier i) what interventions are most appropriate for the nurse to implement? Select all that apply
The nurse auscultates the client’s bowel sounds and hears fa…
The nurse auscultates the client’s bowel sounds and hears faint gurgling sounds after three minutes. What documentation would most appropriately reflect the nurse’s assessment findings?
Which procedures necessitate the use of surgical aseptic tec…
Which procedures necessitate the use of surgical aseptic techniques? Select all that apply.
Which assessment finding would be indicative of a fecal imp…
Which assessment finding would be indicative of a fecal impaction?
A surgical client develops a wound infection during hospital…
A surgical client develops a wound infection during hospitalization. What classification is this type of infection?
A nurse is teaching a newly licensed nurse about appropriate…
A nurse is teaching a newly licensed nurse about appropriate actions to take when a client threatens to harm a specific individual. Which of the following statements by the newly licensed nurse indicates understanding?
The client has a large abdominal incision that requires woun…
The client has a large abdominal incision that requires wound packing and a dressing. When performing the dressing change, the nurse drops the packing onto the client’s abdomen. What is the most appropriate nursing action?