How should the nurse document the finding of pain, numbness, and tingling sensations in the lower legs?

The nurse is caring for a patient one week post-surgery.
Which finding should the nurse expect to see if the surgical incision is healing properly?

Two days after surgery, a male client experiences incisional pain while dangling his feet at the bedside and he refuses to ambulate as prescribed.
The nurse establishes a problem of 'Activity intolerance related to pain'. Based on this problem, which outcome statement is best for the nurse to include in his care plan?

The nurse observes the skin over a client's greater trochanter, as seen in the picture with pressure sores.
What actions should the nurse implement?

The nurse is planning to provide mouth care to an unconscious client.
Which statement is accurate for implementing mouth care to this client?

Which descriptions of stool warrant additional follow-up by the nurse? (Select all that apply.).

Which response by the nurse is most therapeutic?

While teaching a client how to perform a skill, the nurse determines that the client is experiencing sensory overload and is unable to learn effectively.
Which action should the nurse implement?

The nurse is caring for a client who has only months predicted to live. The client avoids questions regarding plans for care.
What is the next approach for the nurse to use when discussing end of life issues with the client?

A client who is on complete bedrest frequently calls the nurse for the bedpan to urinate.
Which action should the nurse take to evaluate the client for urinary retention?

The nurse observes that a client is using accessory muscles. Which vital sign should the nurse obtain first?