A nurse is assisting with evaluating a newly licensed nurse drain an ileostomy bag for a client. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

A nurse is caring for a client who has a body mass index (BMI) of 27. The nurse should place the client in which of the following BMI categories?

A nurse is reinforcing teaching with a client who is to collect stool at home for a fecal occult blood test (FOBT). Which of the following should the nurse instruct the client to avoid for at least 3 days before the test?

A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical-surgical unit with an NG tube in place to low gastric suction. The client reports anxiety, discomfort, and a feeling of bloating. Which of the following actions is the nurse's priority?

A nurse is assisting in the care of 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.

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 stoma is reddened and has small open areas

A nurse is caring for a client who has a 3-way urinary catheter with continuous irrigation. The nurse notes there has not been any urinary output in the last hour. Which of the following actions should the nurse perform first?

A nurse is caring for older adult clients at a long-term care facility. Which of the following assessments should the nurse consider when monitoring clients for urinary retention?
[Select All that Apply)

A nurse has completed providing care for a client who has a new colostomy determines the patient education is ready to learn how to care for it himself. Which of the following outcomes should the nurse expect?

A nurse is completing the 8-hr I&O record for a client who consumed 4 oz of clear soda, 1 piece of toast. 12 oz of water, 1 cup of fruit-flavored gelatin, and 1/2 cup of chicken broth. The client also received 300 mL of 0.9% sodium chloride IV. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number.)

A nurse is collecting data from a client. Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?