The nurse is teaching a patient with a new ostomy about skin care to preserve tissue integrity. What teaching will the nurse provide about cleansing the ostomy area?

A client has just had abdominal surgery, and the nurse is consulting with him about his diet now that he is allowed to eat. Which nutrient is most important for wound healing?

The home health nurse notes the client has gained 5 pounds overnight and has increased edema in the lower extremities. The nurse is calling the physician to obtain an order over the phone for furosemide medication. The physician gives an order and the nurse enters the order in the client's medical record. What will the nurse do next after writing down the order?

Which of the following is the best example of a measurable client goal? The client will:

The nurse is caring for a patient who is confused and agitated. The patient continues to get out of bed without assistance and is at high risk for falls. The nurse is considering alternatives to implement prior to applying restraints.

Of the following, which would the nurse NOT consider in the plan of care as an alternative to restraints?

A nurse is performing a physical assessment of a patient who is experiencing fluid volume excess. Upon examination of the patient's legs, the nurse documents: Pitting edema; 8-mm pit. Pit remained for 4 minutes after pressing. What grade of edema has this nurse documented?

A nurse asks a client the current level of pain using a scale of 0 to 10 after administering pain medications 30 minutes ago. Which of the following steps of the nursing process is the nurse performing?

A client comes to the emergency department complaining of abdominal cramping and severe persistent diarrhea. The client has recently traveled outside of the United States to an area that may be prone to water contamination. The physician has written several orders. Which assessment and diagnostic physician order would be the first priority for the nurse to complete based on the patient's symptoms?

A nurse is caring for a client who is being treated for bladder infection. The client reports to the nurse that he has been having painful burning with urination. How should the nurse document the client's condition?

A client had his Foley catheter removed six hours ago and has just voided for the first time. The nurse performs a bladder scan to check for any post-void residual. The results of the post-void residual (PVR) from the bladder scan are 400mL of urine. What should the nurse do next?

A student nurse is performing a urinary catheterization for the first time and inadvertently contaminates the  catheter by touching the bed linens. What should the nurse do to maintain surgical asepsis for this procedure?