You are providing care for a patient who had an ileostomy placed one week ago after a bowel resection. You note the following findings during your assessment (see chart below):

Stoma Assessment	Stoma is protruding 2cm, is red and moist. Peristomal area is clean and intact.
Output	Liquid stool that is malodorous. Gas present in the appliance.
General Status	Patient is avoiding looking at the ileostomy during care.
Laboratory Data	Potassium 3.6 mEq/L (normal 3.5 to 5 mEq/L) Sodium 137 mEq/L (normal 135 to 145 mEq/L) Creatinine 0.9 mg/dL (normal 0.6 to 1.2 mg/dL)

What finding is most concerning to the nurse?

After applying pneumatic compression devices to bilateral lower extremities on a patient who is on bedrest, the patient asks what the purpose is of the device. How should the nurse respond to best address the patient's question?

The nurse is providing care for patients on the medical-surgical unit. Which of the following situations requires the nurse to implement medical asepsis?

A patient has called the nurse to help them ambulate to the bathroom. The nurse assists the patient to a dangling position on the bed and applied the gait belt. Upon standing, the patient reports that they are feeling very dizzy. What is the next best action by the nurse?

You are providing care for a patient who had an ileostomy placed one week ago after a bowel resection. You note the following findings during your assessment (see chart below):

What finding is most concerning to the nurse?

A client is having difficulty having a bowel movement laying on the bedpan. What is the physiologic reason for this problem?

The nurse is providing care to a patient who has tested positive for tuberculosis. The patient is moved into an airborne isolation room and the patient asks. "Why do I need to be moved into this new room?" How should the nurse respond?

The provider has ordered a medication for a patient in the electronic health record. The nurse compares the ordered medication to the drug guide, see table below.

What part of this order requires clarification by the nurse prior to administering the medication?

A client with urine retention related to a complete prostatic obstruction requires a urinary catheter to drain the bladder. Which type of catheter is most appropriate for a client that has an obstructed urethra?

A nurse is preparing to bathe a client with dyspnea. Which of the following actions should the nurse plan to take?

The nurse is providing education on how to prevent constipation to a group of older adults in a nursing facility. What should be included in the education?