A nurse is caring for a patient who has weakness and dizziness from dehydration. Which intervention is most appropriate to prevent falls?

A nurse assesses a client with an acute ankle sprain and notes localized redness and warmth at the injury site. The nurse recognizes these findings as classic manifestations of the inflammatory response. Which physiologic change in the inflammatory process is responsible for these findings?

A nurse is providing caregiver teaching to the spouse of a 69-year-old client with middle-stage Alzheimer’s disease. The spouse reports the client has recently become lost while driving, makes poor decisions at work, and becomes agitated and yells when she tries to explain things. Which communication strategies should the nurse recommend to help the spouse communicate more effectively with the client? Select all that apply.

A nurse is providing teaching to the spouse of a 70-year-old client who was recently diagnosed with probable Alzheimer’s disease after experiencing progressive short-term memory loss, difficulty performing calculations, and word-finding problems over the past year. Which statements made by the spouse indicate a need for further teaching about Alzheimer’s disease? Select all that apply.

The nurse is creating a plan of care for the family of a client with a terminal illness. Which aspects of this family’s care should the nurse emphasize when creating this plan? Select all that apply.

 A hospital has created a culture of safety by providing organizational support for safety initiatives and by training and encouraging healthcare employees in the area of safety. What other step is needed to promote safety for everyone in the healthcare environment?

A nurse is planning care for a hospitalized client who has limited mobility and is at high risk for developing pressure injuries. The nurse reviews interventions to include in the client’s plan of care to maintain skin integrity. Which interventions should the nurse include? Select all that apply.

The nurse is evaluating the success of wellness care provided to a new family in the community. Which observations by the nurse indicate that wellness care has been successful? Select all that apply.

An older adult client is admitted to the medical-surgical unit following surgical repair of a hip fracture. During postoperative assessment, the nurse notes non-blanchable redness over the client’s sacrum. The client has limited mobility and requires assistance with repositioning. Which nursing action is most appropriate to help prevent progression of this pressure injury?

The nurse is planning care for a group of clients who are experiencing grief. Which principle from accepted grief models should the nurse use to guide care?