Author: Anonymous

A client with a recent diagnosis of macular degeneration has been receiving nursing interventions to enhance safety and promote independence. The nurse evaluates the effectiveness of these interventions. What statement by the client indicates a successful outcome?

A nurse is providing care for a client who is severely immobilized following a stroke. The healthcare team is implementing a new evidence-based protocol for positioning to prevent pressure injury. Which of the following elements are crucial to incorporate into this protocol to effectively redistribute pressure and prevent shear and friction injuries? Select all that apply.

The nurse is discussing the benefits of early ambulation with a client recovering from major surgery. Which advantages should the nurse emphasize? Select all that apply.

A PACU nurse is assessing a client recovering from spinal anesthesia. What intervention is most appropriate to ensure client comfort and safety?

A circulating nurse is assessing a client in the OR. What is the priority assessment when positioning the client on the operating table?

A client with a full-thickness wound has entered the remodeling and maturation phase of healing. The nurse explains to the client that this phase can continue for an extended period. What is the primary characteristic of the scar tissue formed during this final phase?

A nurse is educating a client on best practices for contact lens care to prevent infections. What statement by the client demonstrates understanding of the teaching?

Which actions demonstrate appropriate use of clinical judgment when identifying nursing diagnoses for clients with sensory alterations? Select all that apply.

A nurse is assessing a chronic wound on a client’s sacrum. The wound bed appears partially covered with soft, yellowish, stringy tissue, and the nurse also notes some dark, leathery areas. The nurse plans to measure the wound and assess its exudate and periwound skin. Which of the following are crucial assessment techniques and expected findings for this type of wound? Select all that apply.

A nurse reviews a client’s urinalysis results:• Color: Pale yellow• Clarity: Slightly cloudy• Specific gravity: 1.002Which of the following interpretations are correct? Select all that apply.