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The clients Braden scale score is 10. Which nursing actions should be included in the plan of care? Select all that apply.

The nurse uses a wide stance when moving a heavy box of supplies. Which statement explains the best rationale for the nurse to perform this nursing action?

A nurse is caring for a client who reports dizziness when standing up. The client’s blood pressure after lying supine for 15 minutes is 136/86 mm Hg in the left arm. Which of the following findings would indicate the client is experiencing orthostatic hypotension? 

The Blood Pressure has been recorded as 140/80. What would the nurse document as the pulse pressure?

What nursing action would prevent convection heat loss from the body while performing a bed bath? 

Upon examining the feet of an older adult client with diabetes, the nurse notices long, thick nails. The client says that the nails catch on their socks and asks the nurse to cut them. Which is the most appropriate nursing intervention?

You are preparing to transfer your patient from the bed to a stretcher. You have raised the bed to the height even with the stretcher. What would your next action be?

The nurse is shaving the male client’s facial hair.  Which action should the nurse utilize?

Which nursing action would be the correct technique for obtaining an oral temperature on the client who has just had a cup of ice chips?

Which condition could cause a significant decrease in the clients blood pressure?