A nurse is performing a dressing change on a client and observes granulation tissue. Which of the following findings should the nurse document?

A nurse is caring for a client.

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

The client is at risk for developing 

A nurse is using the faces, legs, activity, cry, consolability (FLACC) scale to assess the need for PRN pain medication for a client who has cognitive impairment. Which of the following findings should the nurse identify as an indication the client is experiencing pain?

A nurse is caring for a client in a medical-surgical unit.

Drag words from the choices below to fill in each blank in the following sentence.

The client is most at risk of developing

A nurse on a medical unit is caring for a group of clients. For which of the following tasks should the nurse wear a face shield?

A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the difference between the intake and output as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is postoperative.

Click to highlight the documentation in the client's medical record that requires further action by the nurse. To deselect documentation, click on the documentation again.

Temperature 37.5° C (99.5° F)

Client is difficult to arouse.

Respiratory rate 10/min

Pulse oximetry 88% on room air (95% to 100%)

Pupils are 3 mm, equal, and reactive to light.

Blood pressure 99/46 mm Hg

Heart rate 61/min

A nurse is creating a plan of care for a client who has left-sided hemiplegia. Which of the following interventions should the nurse include?

A nurse is caring for a client who is receiving a first dose of amoxicillin. Which of the following findings should the nurse report to the provider immediately?

A nurse is providing teaching to an older adult client about factors that increase the risk of urinary tract infection. Which of the following information should the nurse include?

A nurse is discussing community support services with an adult client who has cognitive disabilities and their guardian. The guardian reports that the client's need for help with activities of daily living has increased recently. Which of the following referrals is most important to promote the client's quality of life?