A nurse is checking the abdominal incision of a client who is 24 hr postoperative. The nurse finds wound evisceration with protruding abdominal contents. The nurse should place the client into which of the following positions?

A nurse at an urgent care clinic is contributing to the plan of care for a client following a near drowning while attempting to walk across a frozen pond. Which of the following interventions should the nurse recommend?

A nurse is assisting in the plan of care for the client who has compartment syndrome.

The nurse is assisting in the plan of care for the client who has compartment syndrome. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

A nurse is reinforcing teaching about meal planning with a client who has hypertension. Which of the following statements by the client indicates an understanding of the teaching?

The nurse is assisting with the care of a client.

For each finding, click to specify if the finding is consistent with small bowel obstruction or acute pancreatitis. Each finding may support more than 1 disease process.

A nurse is reinforcing teaching about ostomy care with a client who has a new colostomy. Which of the following findings should the nurse instruct the client to report to the provider?

A nurse is collecting data from a client who has a newly placed colostomy. Which of the following findings should indicate to the nurse the client has accepted their new altered body image?

A nurse is assisting in the care of the client who is postoperative following a fasciotomy.

The nurse is reviewing the client's electronic medical record (EMR). Click to highlight the statements in the EMR that indicate the client's condition is improving since implementing interventions. To deselect a finding, click on the finding again

Nurses' Notes

Day 3, 2300:

Client is alert and oriented to person, place, and time. Bilateral breath sounds clear and present throughout. Right leg with splint in place. Incisional dressing dry and intact. Wound drain to negative-pressure vacuum, draining small amounts of serosanguinous fluid. Bilateral pedal pulses 3+. Feet warm with intact movement and sensation. Client reports pain as a 4 on a scale of 0 to 10.

Vital Signs

Day 3, 2300:

Temperature 37.8° C (100° F)

Blood pressure 120/58 mm Hg

Heart rate 98/min

Respiratory rate 20/min

Oxygen saturation 95% on room air

A nurse is contributing to the plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assisting in the care of a client following a tonsillectomy who is alert and has an SpO2 of 93% on room air. Which of the following actions should the nurse take?