The patient with Addison disease needs an increased dosage of corticosteroids in stressful situations to prevent addisonian crisis.

Choice A reason: Purulent drainage indicates infection in a pressure injury, a serious complication requiring immediate intervention. This aligns with wound assessment, making it the correct finding the nurse would find most concerning due to the risk of sepsis or delayed healing in the patient.

Choice B reason: Amber fluid is often serous and normal in healing wounds, unlike purulent drainage, which signals infection. This is incorrect, as it’s less concerning than the nurse’s priority of identifying infection in a pressure injury assessment.

Choice C reason: Blood-tinged fluid may indicate minor trauma, not as critical as purulent drainage, which suggests infection. This is incorrect, as it’s less alarming than the nurse’s focus on infection as the greatest concern in pressure injury evaluation.

Choice D reason: Clear drainage is typically serous and benign, unlike purulent drainage, which indicates infection. This is incorrect, as it’s not concerning compared to the nurse’s priority of detecting infection in a pressure injury to prevent complications.

Choice A reason: Assisting to the commode every 2 hours doesn’t address flaccid bladder retention, as the patient cannot void. Self-catheterization empties the bladder, making this incorrect, as it’s ineffective compared to the nurse’s plan for managing urinary retention in multiple sclerosis.

Choice B reason: Teaching self-catheterization enables a patient with a flaccid bladder from multiple sclerosis to empty the bladder, preventing retention complications. This aligns with neurogenic bladder management, making it the correct action the nurse would plan for effective urinary care.

Choice C reason: Incontinence briefs manage overflow but don’t address retention, risking infections. Self-catheterization is needed, making this incorrect, as it’s inappropriate compared to the nurse’s focus on actively emptying the bladder in a patient with multiple sclerosis.

Choice D reason: Decreasing evening fluid intake reduces urine volume but doesn’t solve retention from a flaccid bladder. Self-catheterization is key, making this incorrect, as it fails to address the nurse’s goal of managing urinary retention effectively in multiple sclerosis.