A client who is on complete bedrest frequently calls the nurse for the bedpan to urinate.
Which action should the nurse take to evaluate the client for urinary retention?

While changing the dressing of a client with a leg ulcer, the nurse observes a red, tender, and swollen wound at the site of the lesion.
Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

The nurse is providing postoperative care for a client who complains of severe pain after receiving codeine 30 mg orally one hour ago.
Which intervention should the nurse implement next?

The healthcare provider prescribes ear drops to an adult client with an ear infection.
Which exacting should the nurse follow?

The nurse plans to encourage a group of young adult clients to engage in problem-solving strategies.
Which of the following is most useful for the nurse to include?

How should the nurse document the finding of pain, numbness, and tingling sensations in the lower legs?

The nurse is teaching a client how to self-administer subcutaneous heparin injections.
Which instruction should the nurse include?

The nurse observes a new employee, an uncertified nursing assistant (UAP), checking the temperature using a tympanic thermometer. The UAP pulls the client's auricle up and back and prepares to insert the thermometer.
Which action should the nurse implement?

The nurse is caring for a patient one week post-surgery.
Which finding should the nurse expect to see if the surgical incision is healing properly?

The nurse observes an unlicensed assistive personnel (UAP) feeding a client who had a cerebral vascular accident (CVA) and is at risk for aspiration.
Which action by the UAP should the nurse recognize indicates the need for additional teaching?

What equipment should the nurse use to most accurately measure a 2ml dose of a viscous liquid solution to be given orally?