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A patient is admitted to the medical-surgical unit and is unable to move themselves in bed. Currently, the patient is lying supine in the bed. Which of the following sites are at risk for pressure injuries? Select all that apply. 

Upon entry into your patient’s room, you recognize that your patient is experiencing minor shortness of breath at rest. The vital signs are as follows: BP 121/67, HR 88, SpO2 94% on room air, and RR 20. What should you do first?

A patient has bradypnea. What does this mean?

A client is diagnosed with heart failure. The nurse visualizes swelling on the patient’s bilateral lower extremities.  What is the term the nurse will use to document the swelling?

During palpation of the anterior chest wall, the nurse feels a coarse, crackling sensation over the skin surface. What does this finding indicate?

During an annual physical examination, a 43-year-old patient states that she does not perform monthly breast self-examinations (BSEs). She tells the nurse that she believes that mammograms “do a much better job than I ever could to find a lump.” What should the nurse include in his or her response to this patient?

A 68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she has been having trouble reading the paper, sewing, and even seeing the faces of her grandchildren. On examination, the nurse notes that the patient has some loss of central vision, but her peripheral vision is normal. What do these findings suggest?

Your patient has wheezes upon auscultation of the lungs. Which of the following additional assessment findings would warrant immediate attention by the nurse?

The nurse is conducting a child safety class for new mothers. Which factor places young children at highest risk for ear infections?

The student understands that the normal stimulus to breathe is primarily due to: