The nurse is bathing a client and discovers a pressure injury on the buttocks (see photo). Which nursing intervention, following completion of the bath, is completed first? stage 2 pressure ulcer.jpg
A male client with a history of coronary artery disease is b…
A male client with a history of coronary artery disease is being discharged after a recent myocardial infarction. Which statement by the client indicates a need for further teaching about lifestyle modifications?
A nurse is reviewing the hospital’s fire safety policies and…
A nurse is reviewing the hospital’s fire safety policies and procedures with newly hired assistive personnel. The nurse is describing what to do when there is a fire in a client’s trash can. Which of the following information should the nurse include? (Select all that apply)
Sterile packaged items can be opened without contamination o…
Sterile packaged items can be opened without contamination of the contents even when you are not wearing sterile gloves.
A client is admitted for lethargy and weight loss. Which cli…
A client is admitted for lethargy and weight loss. Which clinical manifestation supports the nurse’s suspicion of a diagnosis of type 1 diabetes mellitus? (Select all that apply)
A nurse is preparing to administer dextrose 5% in water (D5W…
A nurse is preparing to administer dextrose 5% in water (D5W) 150 mL IV to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
A patient is being assessed for a possible urinary tract inf…
A patient is being assessed for a possible urinary tract infection in the outpatient clinic. Before sending a urinalysis specimen to the laboratory, the nurse collects a small amount of urine in order to perform a dipstick test in order to detect:
A nurse manager is explaining the use of incident reports to…
A nurse manager is explaining the use of incident reports to a group of nurses in orientation. Which of the following information should the nurse manager include?
The nurse is caring for a patient with incontinence who has…
The nurse is caring for a patient with incontinence who has a new order for a urine specimen to evaluate the presence of a urinary tract infection (UTI). With a physician’s order, it would most appropriate for the nurse to use which of the following to collect this one time specimen?
A nurse is demonstrating colostomy care to a client who has…
A nurse is demonstrating colostomy care to a client who has a new colostomy. Which of the following actions should the nurse instruct the client to perform? (Select all that apply)