2.3 Rangskik die vloei van urine deur die menslike liggaam. Stap 1 Stap 2 Stap 3 Stap 4 (4)

The nurse is caring for a client who is recovering from abdominal surgery.  What is the most appropriate action by the nurse to avoid respiratory depression?

The morning nurse is assigned to care for a client admitted during the night with rectal bleeding. When making rounds, the nurse observes that the client’s face is ashen in color and the skin is cool and clammy.  What type of physical assessment is the nurse conducting?

A client was in a motor vehicle accident 2 weeks ago and suffered a right hip fracture. The nurse knows that the client’s ambulation activities could decrease the risk for a Deep Vein Thrombosis (DVT). Which direct care should the nurse implement to establish safe ambulation?

Which of the following patients would be at the highest risk for the development of pressure ulcers?  

Which assessment of the client would indicate an adaptation to the sensory deficit?

The nurse is conducting an assessment of the cardiac system.  The nurse knows the mitral valve is assessed in what location?

The nurse knows which method to be an appropriate way to secure the client’s restraint?

The nurse is caring for a postoperative patient who has just been diagnosed with a deep vein thrombosis (DVT) in the right leg. Which focused assessment question has the highest priority for this patient?

The nurse is providing care for an unconscious client.  Which precautions should the nurse take when performing oral care? (Select all that apply)