The nurse is caring for a client with a surgical incision and identifies the following assessments: Incision edges are intact. The area around incision is red and edematous. An increase in serosanguinous drainage is noted from yesterday. Which complication does the nurse anticipate is occurring?

The nurse is caring for an immobile client and identifies these findings: Painful, persistent non-blanchable erythema at site of right greater trochanter. Skin remains intact. How would the nurse identify these findings in documentation?

The nurse questions the wound care specialist about the meaning of an un-stageable pressure injury. Which statement about this condition is correct?

The nurse is caring for a client with a venous ulcer. Which dressing would be most appropriate for the nurse to select?

The nurse is performing a health assessment with a 74-year-old client. When questioned about sleep habits, the client says, "I used to sleep like a baby but for the last few years, I seem to be a very light sleeper. Why would this be?" What would be the nurse's best response?

A client tells the nurse that the healthcare provider switched the pain medication used for arthritis from ibuprofen to celecoxib and questions the reason for this change. Which is the most likely reason for change in medication?

A client tells the nurse that the arthritis pain is not relieved by 400 mg of ibuprofen every 4 hours, so the client doubles the dose. What is the nurse's best response?

When the nurse administers tramadol orally to a client for pain, which teaching point is most important to tell the client?

The nurse is caring for a postoperative client who is receiving opioid medication for pain management. The nurse notes that the client is more difficult to awaken and has a respiratory rate of 9 breaths per minute. Which medication would the nurse anticipate being given to this client?

An adult client is discussing experiencing occasional episodes of insomnia. In assessing the client's approach to sleep, which client statement should the nurse discuss further with the client?

If a medication remains in the body of an elderly client for a longer period of time resulting in a longer half-life of the medication, what dosage adjustment would the nurse anticipate to be prescribed?

The nurse and the healthcare provider are discussing the use of fentanyl to manage a client's pain. Which route will achieve the longest duration of pain relief for the client?

The nurse notes these medications for a post-operative client. Which order would the nurse question?

A hospice client has been prescribed an opioid for the past 6 months for pain control. The nurse contacts the healthcare provider because the dosage of the opioid no longer provides pain relief. What is the reason for this nontherapeutic response to the opioid?

The healthcare provider has decreased the dosage of a medication for a client who is malnourished. What is the nurse's correct understanding of the rationale for this action by the healthcare provider?

The nurse prepares to administer a medication to a client, who refuses to take it. What is the priority action of the nurse?

A client will be discharged with a 1-week supply of the combination medication of oxycodone and acetaminophen for pain management after abdominal surgery. Which statement by the client indicates to the nurse that teaching about self-administration of this analgesic was effective?

The nurse is caring for a 75-year-old client following repair of a femur fracture five days ago. Since surgery, the client has been experiencing frequent episodes of urinary incontinence. The client states, "I've never had this problem. I don't understand why this is happening now." What is the best response from the nurse?

A six-year-old client has a fever of 102°F during a case of chicken pox. His mother asks for advice to help reduce his fever. Which medication should the nurse suggest?

The client presents to the wound care clinic with a stage two pressure injury to the sacrum. The wound has been treated in the clinic for three months. Which statement by the client indicates to the nurse that teaching has been effective during this clinic visit?

A client has an order for eye drops, three times a day, in both eyes. What should the nurse plan to do in administering this medication?

A client is not ready for sleep and asks the nurse to leave the sleeping pill at the bedside. What is the most appropriate action for the nurse to take?

The nurse reviews the medication order - glipizide 2 mg PO ac daily.

Upon assessment of the client, the nurse notes two open wounds to the client's left dorsal foot and medial second toe. Client reports pain with elevation of lower extremities. The nurse notes both wounds without exudate. Based on this assessment criteria, how would the nurse identify this wound in report?