A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour.

Which of the following actions should the nurse take first?

A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?

A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy.

The client's spouse asks the nurse what the procedure entails.

Which of the following nursing statements is appropriate?

A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest.

While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

A nurse is caring for a client who has meningitis, a temperature of 39.7° C (103.5° F) and is prescribed a hypothermia blanket.

While using this therapy, the nurse should know that the client must carefully be observed for which of the following complications?

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?

A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure (ICP)?

A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department, confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected.

The nurse should anticipate using which of the following types of insulin to treat this client?

A nurse enters a client's room and finds the client on the floor having a seizure.

Which of the following actions should the nurse take?

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma.

Which of the following findings should the nurse identify as a safety risk?

During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest.

The lesion is raised and flesh-colored with pearly white borders.

The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?