A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following?

A nurse is assessing a client who has had staples removed from an abdominal wound postoperatively. The nurse notes a wide separation of the wound edges with light serosanguineous drainage. Which of the following actions should the nurse perform first?

A nurse is teaching a client who has urinary incontinence about avoiding foods and beverages that can cause bladder irritation. The nurse should include that which of the following foods and beverages is a bladder irritant?

A nurse is teaching a newly licensed nurse about physiological changes in the digestive system that occur with aging. The nurse should include older adults might experience which of the following physiological changes?

A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?

A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse the client's peristalsis is returning?

Which patient is most at risk for diarrhea?

A nurse is caring for a light-skinned client who has an ileostomy.

The nurse is reviewing the client's medical record. Click to highlight the findings that require intervention by the nurse. To deselect a finding, click on the finding again.

The nurse is reviewing the client's medical record.

Click to highlight the findings that require intervention by the nurse. To deselect a finding, click on the finding again.

Day 1:

• Abdomen soft, nondistended.
• Ileostomy present. Stoma is red.
• Stoma draining brown liquid stool
• Client will not look at stoma

Client states they are not interested in learning about stoma care

Day 2:

• Ileostomy pouch changed.
• Skin surrounding stomas reddened and has small open areas
• stoma with small amount of bleeding noted during cleaning.

A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?

The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?