A nurse is instructing a patient on how to self-administer heparin. Which of the following instructions should the nurse include?

A nurse is giving a change-of-shift report about a client they admitted earlier that day who has pneumonia. Which piece of information is the priority for the nurse to provide?

A nurse is documenting a client’s fluid intake over the past 8 hours.
Which of the following items should be recorded as 120 mL of fluid in the client’s intake and output record?

A nurse is caring for a client who had a spinal cord injury and has paraplegia. The client is alert and oriented.

The client is repositioned every 2 hr. Passive range-of-motion exercises to lower extremities are performed once each day.

On Day 5, the client’s feet are warm, pedal pulses are 2+ bilaterally, plantar flexion contractures are noted bilaterally, and the left heel has a 1.3 cm x 1.3 cm (0.5 in x 0.5 in) area of nonblanchable erythema, with skin intact.

Which findings require intervention by the nurse?

A 60-year-old male client is admitted to the medical-surgical unit. The client is experiencing a worsening of symptoms over the last 24 hours. The client's initial presentation was similar to previous days, but his condition has deteriorated.

Based on the evolution of the client’s condition and the provided exhibits, select all that apply. Which of the following actions should the nurse include in the client's care plan?

Three days ago, a client was admitted from home with a reported pressure injury. The provider and wound care nurse were at the bedside.

Which statement best describes the most critical aspect of the client's pressure injury and current treatment?

A nurse is providing dietary advice to a client at risk for hypokalemia. Which food should the nurse recommend for inclusion in the client’s diet?