An older client has an oral temperature reading of 96.8 degrees F and states they feel cold. Which interventions could help increase the client’s temperature? Select all that apply.

The nurse is identifying outcome criteria for a client with a nursing diagnosis of Disturbed Sensory Perception, Auditory. What would indicate that interventions to address this diagnosis have been successful?

A patient with multiple nevi (moles) expresses concerns regarding their presence and the possibility of malignant changes. What is the best response by the nurse?

The wound nurse is assessing a decubitus ulcer on the patient’s coccyx. The nurse notes that there is full thickness skin loss with visible fat. Which of the following is the most accurate staging of this decubitus ulcer?

The nurse is caring for a young man who has a positive culture  for Clostriduim difficile (C. dif). Which of the following nursing actions would be appropriate given this organism?

The nurse is caring for a patient with a lower right leg wound. The nurse notes a moderate amount of clear drainage from the wound. How would the nurse best describe this type of drainage?

A nurse is preparing to give an IM injection with a total volume of 4ml to an adult patient. Which site is the most appropriate for this injection?

A client who resides in a long-term care facility has no family or visitors. Her only social contacts are with the staff. The client is confined to bed and is not able to communicate verbally. As part of the client’s care plan, the nurses provide massage therapy three times a week. What is the priority benefit of this intervention on the plan of care for this client?

Which of the following should the nurse document 7:00 p.m. as in military time?

Which of the following is the most important measure after the nurse concludes that a patient’s goal has been met?