A nurse is assessing the skin turgor of an older adult client. In which of the following areas should the nurse lift the skin?

A charge nurse is concerned about a recent increase in facility-acquired catheter infections.

Which of the following actions should the nurse take first?

A nurse is reinforcing teaching with a parent of a 4-month-old infant during a home visit.

Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is planning care for a client who is scheduled to receive a peripherally inserted central catheter in the arm. Which of the following interventions is appropriate for the nurse to include in the plan of care?

A nurse is admitting a client to a medical-surgical unit.

When performing medication reconciliation for the client, which of the following actions should the nurse take?

A nurse is performing postmortem care for a recently deceased client prior to the client’s family visit.

Which of the following actions should the nurse plan to take?

A nurse at a community health clinic is planning care for an adolescent who recently learned that she is pregnant and is concerned about her ability to afford and care for her baby. Which of the following actions should the nurse take?

A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation.

Which of the following actions should the nurse take?

A nurse is teaching a newly licensed nurse about caring for clients in the emergency department.

Which of the following actions should the nurse include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?

A nurse is providing teaching to a client who has a new prescription for enoxaparin.

Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin?

A nurse in an emergency department is caring for a client. Nurses' Notes.

1200:.

Client is an 82-year-old male who presents with his adult child for evaluation of right arm pain after a fall. Client noted to have several superficial abrasions on right forearm and elbow. Also has numerous bruises in various stages of healing on arms and upper chest. Client rates pain in right lower forearm an 8 on a 0 to 10 pain scale and is not moving the arm.

1210:.

Client noted to keep head down and makes limited eye contact. Speaks very softly and looks at adult child before answering interview questions. Has strong body odor and clothes are unclean. Client's adult child answers most questions. Client grimacing and guarding right arm.

Client weighed, is 56.2 kg (124 lb) and 175 cm (69 in) tall. BMI 18.3.

1230:.

Client's adult child left facility to go home and get the client’s prescribed medications. Client visibly more relaxed and now speaking more openly to staff with improved eye contact. Client reports that he has lived with his adult child for the past several.

Vital Signs. 1200:.

Temperature 36.7° C (98° F). Heart rate 96/min.

Blood pressure 142/96 mm Hg. Respiratory rate 16/min.

SpO2 97% on room air.

The nurse is preparing to speak to the facility's Social Worker about the client's condition.

Select the 5 findings the nurse should plan to include in the report.