An older adult male client, who is a retired chef, is hospitalized with a diabetic ulcer on his foot. His daughter tells the nurse that her father has become increasingly obsessed with the way his food is prepared in the hospital. The nurse's response should be based on which information?

The nurse identifies the presence of clear fluid on the surgical dressing of a client who just returned to the unit following lumbar spinal surgery. Which action should the nurse implement immediately?

A client is admitted following a motor vehicle collision. When assessing the client's level of consciousness, the nurse notes that the client no longer responds to commands. The nurse initiates a painful stimulus and the client responds by pulling the arms inward with elbows and wrists flexed and extending the legs with the toes pointed downward. Which action should the nurse implement?

The nurse is conducting an assessment on an older adult retired farmer. Which skin lesion should the nurse expect to see?

Patient data

Click to highlight the information that should inform the nurse about the client's mental health.

During the initial assessment, the nurse observes the client has poor hygiene and has dried food on his mouth with food stains on his clothing. He reports living his near job. He reports trouble sleeping. He reports smoking one-half pack of cigarettes a day. He denies pain. He denies thoughts of self-harm or thoughts of suicide.

The nurse is performing a routine assessment of an IV site for a client receiving both IV fluids and medications through the line. The client reports tenderness when the nurse touches the arm above the site. Which finding should the nurse expect which will require immediate intervention?

The healthcare provider prescribes morphine 2 mg IV for a client who reports a pain level of 7 on a 0 to 10 scale. Prior to administering the first dose, the nurse should review the electronic medical record for which condition?

The healthcare provider prescribes cefazolin 800 mg intramuscularly every 6 hours. The available vial is labeled, "Cefazolin 1 gram," and the instructions for reconstitution state, "For IM use, add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

The nurse is monitoring a client with Cushing's disease in the post anesthesia care unit (PACU) after a hypophysectomy. Which intervention is most important for the nurse to include in the client's plan of care (POC)?

A client who is currently receiving azithromycin for an infection reports flu-like symptoms for the past couple of days and a new onset of red and purplish rash with blisters on the skin and mucous membranes of the mouth, nose, eyes, and genitals. Which condition presents with these findings?

An older adult client admitted for observation following a fall while getting out of the bath tub becomes increasingly confused. The family arrives with the home medication list and the client's healthcare power of attorney. When providing a report to the healthcare provider using SBAR (Situation, Background, Assessment, Recommendation) communication, which information should the nurse provide first?