A nurse is caring for a postoperative client whose goal is:…

A nurse is caring for a postoperative client whose goal is: “Patient will ambulate 30 feet with assistance and report pain ≤3/10 by the end of the shift.” At the end of the shift, the client ambulates 30 feet with minimal assistance and reports pain of 3/10. The client also states, “I understand why I need to get up and walk.” Which nursing action best demonstrates the evaluation phase of the nursing process?  

A nurse is assessing an older adult client who has experienc…

A nurse is assessing an older adult client who has experienced an unintentional 12-lb weight loss over the past 2 months. The client reports having little appetite and often eating only one small meal each day. The nurse notes dry, fragile skin, decreased muscle mass, and a wound that has shown little progress toward healing. Laboratory results include a glucose of 186 mg/dL, calcium of 8 mg/dL, and hemoglobin of 12 g/dL. Which combination of findings should the nurse recognize as most consistent with malnutrition?    

A nurse is caring for a client recovering from abdominal sur…

A nurse is caring for a client recovering from abdominal surgery. During assessment, the client reports pain of 8/10 when attempting to ambulate and states, “It pulls on my incision when I try to walk.” The nurse develops a plan to improve the client’s mobility and comfort. Which intervention requires collaboration with the health care provider before the nurse can implement it?  

A nurse is caring for a client with persistent, unexplained…

A nurse is caring for a client with persistent, unexplained diarrhea and receives an order for a stool culture. Which information should the nurse include when teaching the client about the purpose and procedure for this test? Select all that apply.