A post-surgical patient reports feeling a "pop" in their surgical wound to the nurse. The nurse noted pinkish drainage on the client's dressing. Upon assessment, the nurse noted a protruding bowel loop. What should be the nurse's immediate action?

The nurse is auscultating the lungs and hears vesicular sounds at the bases of the lungs. What should the nurse do next?

A nurse is preparing a client for a physical assessment. The client appears anxious about the assessment. Which statement by the nurse would be the most appropriate?

A client who came through the emergency department with a fractured leg will be transported to surgery within the hour and admitted as an inpatient. When the client asks how long hospitalization will occur after surgery, what is the appropriate nursing response?

The nurse is preparing to conduct a head-to-toe physical assessment. Which considerations will allow for a safe and appropriate physical assessment environment?

Colace elixir is ordered 100 mg PO at bedtime for constipation. The available medication contains 10 mg/ 2 ml. The nurse will administer how many ml?

A client is prescribed Bentyl 20 mg PO TID. The drug is available in 10 mg capsules. How many capsules will he receive in 24 hours?

A nurse is feeding a visually impaired client who is unable to feed themselves. How should the nurse manage the feeding for this client?

A client experienced a left above-the-knee amputation (AKA) due to a motorcycle accident one week prior. The client called the nurse, stating feeling burning pain on the surface of his left lower leg. The nurse understands the client is experiencing which of the following:

During a focused respiratory assessment of two clients, the nurse notes the following: What skin color variation should the nurse document this as:

A client's heart rate is noted to be 44 bpm. This is referred to as which of the following:

When assessing a client's pulse rate, the nurse records 125 beats per minute. The nurse understands which of the following describes a heart rate of 125 beats per minute for an adult client.

The nurse is educating a client following a wound debridement to increase which protein in their diet to aid in wound healing. The nurse should educate the client to consume which of the following foods: Select all that apply:

The nurse is caring for a client who is 24 hours postoperative. Which finding would require immediate attention by the nurse?

The client inquires about the purpose of having pneumatic compression devices applied. The nurse understands that the purpose of these devices is to do which of the following:

A client diagnosed with congestive heart failure and hypertension is placed on a low-sodium diet. The home care nurse visits with the client to review their diet restrictions and discusses how to read food labels properly. The nurse provides the client with the following food label. The nurse documents the client's understanding of reading food labels if the client reports which of the following?

A bedbound client is at risk for pressure ulcers. Which nursing action is most effective in preventing the development of ulcers?

The nurse is preparing to provide a bed bath to a client in a long-term care facility. The client states to the nurse, "I don't want a bath; I am going anywhere, so it doesn't matter.". Which of the following would be most appropriate for the nurse to do:

The physician prescribes the following: Orapred 40 mg PO daily Available dose is 20 mg/5ml. How many ml will the nurse administer?

A client reports to the nurse that they feel suddenly short of breath when in the supine position. The nurse should document this finding as which of the following?

While performing a skin assessment on a bedridden patient, you note a reddish area on the patient's left heel. The skin is intact. The area is nonblanchable. See the picture below. Based on your findings, you suspect this may be which of the following pressure injury?

The physician prescribes Carafate 1 gram po now. The nurse understands this is how many mg?

A nurse notes a client's intercostal muscles are pulling inwards and reports difficulty breathing. The nurse would document which of the following to describe this type of abnormal breathing pattern:

What type of adventitious lung sounds are typically heard in a client with bronchoconstriction?