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A nurse is assessing a client with suspected head and neck cancer. Which findings are consistent with this diagnosis? Select all that apply.

A nurse is assessing a 28-year-old client who works outdoors in construction and reports excessive sweating during hot weather. The client states, “I can soak through my shirt in an hour when it’s really hot.” Vital signs: BP 118/72 mmHg, HR 88 bpm, RR 16 breaths/min, temperature 37.2°C (99°F). The nurse recognizes this response primarily serves which function?

A nurse provides teaching to a 48-year-old client scheduled for soft tissue expansion before reconstructive surgery for a large burn scar on the left shoulder: tissue expander will be placed subcutaneously and gradually filled with saline over several weeks. Which statements indicate correct understanding? Select all that apply.

A nurse develops a care plan for a 29-year-old client in rehabilitation phase after facial and hand burns: avoids mirrors, refuses visits from friends, states “no one will want to look at me,” and demonstrates limited finger flexion despite physical therapy. Which interventions address this client’s needs? Select all that apply.

A nurse conducts discharge teaching for a 56-year-old client 12 weeks post-burn with healed grafts on the legs: lives with an adult child who works full-time, expresses concern about managing alone during the day, and asks about returning to part-time retail work. Which components should the nurse include in the discharge plan? Select all that apply.

An ED nurse manager is conducting a debriefing session 48 hours after the hospital responded to a mass shooting incident involving 42 victims. Several staff members report difficulty sleeping, intrusive thoughts about the event, and anxiety about returning to work. Which actions should the nurse manager implement? (Select all that apply.)

A nurse is preparing a 78-year-old client for cataract extraction scheduled in 2 hours. History: mild cognitive impairment, hearing loss in left ear, takes multiple medications for chronic conditions. Which actions should the nurse implement? (Select all that apply.)

A nurse educator is observing a new perioperative nurse preparing for the day. The nurse enters the semirestricted area wearing scrub attire laundered at home, personal athletic shoes, a surgical cap covering all hair, and no face mask. The nurse plans to organize supplies in the corridor outside the operating rooms. Which observation requires immediate correction?

A nurse is providing discharge teaching to a 72-year-old client who received bilateral hearing aids 3 days ago for moderate sensorineural hearing loss. The client reports frustration because “everything sounds too loud and confusing.” The client has been wearing the devices continuously since fitting. Vital signs: BP 134/80 mmHg, HR 74 bpm, RR 16 breaths/min. Which instruction is most appropriate?

A nurse uses the Rule of Nines to assess a 67-year-old client admitted after a propane explosion: full-thickness burns cover the entire anterior trunk, anterior right arm, and anterior right hand. Which total body surface area percentage should the nurse document?