The nurse is caring for an elderly client with thinning to the epidermis tissue. Which intervention best addresses this concern?
The nurse is working with an unlicensed assistive personnel…
The nurse is working with an unlicensed assistive personnel (UAP) caring for a client on bed rest. How would the nurse instruct the UAP to care for the client to prevent skin injury related to shearing?
The client had an abdominal surgical procedure two days ago….
The client had an abdominal surgical procedure two days ago. While assessing the client’s suture line, which would indicate to the nurse a possible delay in wound healing?
The nurse includes the following instructions for a client p…
The nurse includes the following instructions for a client prescribed tolterodine (Detrol).
The nurse is caring for a client with a chronic neurologic c…
The nurse is caring for a client with a chronic neurologic condition that decreases the client’s peristalsis. The nurse identifies that this client is at risk for
When administering albuterol (Proventil HFA) to an older adu…
When administering albuterol (Proventil HFA) to an older adult, the nurse instructs the client that
The nurse teaches a client that occult blood
The nurse teaches a client that occult blood
A client hospitalized in a long-term rehabilitation facility…
A client hospitalized in a long-term rehabilitation facility is immobile and has a wound on her coccyx measuring 5cm by 3 cm. Depth cannot be obtained since the area is covered with 100% eschar. The nurse would identify this wound as a(an)
The client with quadriplegia presents to the outpatient clin…
The client with quadriplegia presents to the outpatient clinic with a sacral wound that extends through the epidermis into the dermis. When documenting the depth of the wound, how would the nurse classify it?
During a dressing change, the nurse notes an abdominal wound…
During a dressing change, the nurse notes an abdominal wound has eviscerated. What is the nurse’s initial action?