The nurse is providing care to a team of clients. Which clients are at risk for injury to the skin? (Select all that apply.)

A client in the late stages of Alzheimer’s disease is admitted due to malnutrition from decreased oral intake. The nurse performs a bedside swallow assessment and determines the client has impaired swallowing. Which of the following medications is best for management of Alzheimer’s symptoms in this client?

An older adult client has been diagnosed with early-stage Alzheimer’s disease and has begun treatment with Donepezil (Aricept). When providing health education to the client and the client’s spouse, the nurse should identify what goal of treatment?

As part of a comprehensive pain management plan, non-pharmacologic, non-invasive interventions may include relaxation techniques, guided imagery and distraction. What is another non-pharmacologic, non-invasive pain management intervention?

A client is being admitted to the neurologic ICU following an acute head injury that has resulted in cerebral edema. The nurse observes the client have a tonic-clonic seizure lasting 10 seconds. After administering intravenous Lorazepam (Ativan) to abort the seizure, which of the following should the nurse assess first?

A client comes to the emergency department with major burns on over 40% of their body. Although all of the following are true, which one would provide the rationale for a nursing diagnosis/clinical problem of Risk for Infection?

Order: 1000 ml of D5 1/2 NS is ordered to run for 12 hours with an IV set delivering 15 gtt/ml.  What is the rate of flow in gtt/min (Round to the nearest whole number)?

The nurse is monitoring the laboratory results of a client receiving an antineoplastic medication by the intravenous route. The nurse plans to initiate bleeding precautions if which laboratory result is noted?  

What is important for the nurse to understand when assessing pain in an older adult client?

The nurse is caring for a client prescribed Phenytoin (Dilantin) admitted for breakthrough seizures. Which of the following interventions should the nurse anticipate to help prevent future seizures?