The nurse is assessing a female patient who reports severe abdominal pain in the right lower quadrant (RLQ). Which condition should the nurse suspect? Select all that apply.

The patient is able to elevate his shoulders bilaterally until the nurse presses down on his shoulders. How should the nurse document his muscle strength?

Which statement is NOT correct?

Marcus Lee is a 34-year-old male admitted after a motorcycle accident resulting in a thoracic spinal cord injury (T6). He reports paralysis from the waist down and relies on staff for turning and transfers. Marcus reports decreased sensation in the buttocks and lower extremities.
Over the last 48 hours, Marcus has had multiple episodes of bowel and bladder incontinence due to neurogenic dysfunction. His linens were noted to be damp overnight. Marcus has not been eating well, consuming only 30-40% of meals. His albumin level is low, and he has lost weight over the past month.
During the nurse's skin assessment of the sacral area, the following is observed:
A shallow open area with a pink wound bed
Partial-thickness skin loss involving the epidermis and part of the dermis
No slough visible
Surrounding erythema

Medical history includes:

Newly diagnosed neurogenic bladder and bowel
Paraplegia
MVA

What stage is this pressure injury?

A patient who has had rheumatoid arthritis (RA) for years comes to the clinic to ask about changes in her hands. Which changes are associated with chronic RA?

An adult female patient reports black stools. Which follow up question is most important for the nurse to ask?

The nurse is assessing the abdomen of a woman who is eight months pregnant. Which characteristic is the nurse likely to observe? Select all that apply.

An adult male reports urinary frequency and difficulty starting the flow of urine. Which condition is likely?

The patient has been admitted to the hospital for an acute myocardial infarction (heart attack). She reports pain in her neck and left arm. Which type of pain is this?

Marcus Lee is a 34-year-old male admitted after a motorcycle accident resulting in a thoracic spinal cord injury (T6). He reports paralysis from the waist down and relies on staff for turning and transfers. Marcus reports decreased sensation in the buttocks and lower extremities.
Over the last 48 hours, Marcus has had multiple episodes of bowel and bladder incontinence due to neurogenic dysfunction. His linens were noted to be damp overnight. Marcus has not been eating well, consuming only 30-40% of meals. His albumin level is low, and he has lost weight over the past month.
 

During the nurse's skin assessment of the sacral area, the following is observed:
A shallow open area with a pink wound bed
Partial-thickness skin loss involving the epidermis and part of the dermis
No slough visible
Surrounding erythema
 

Medical history includes:

Newly diagnosed neurogenic bladder and bowel
Paraplegia
MVA
 

Based on the Braden Scale, which factors place Marcus at increased risk for developing a pressure injury?

Which condition can cause nociceptive pain?