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A home care nurse visits a client to assess an abdominal surgery site. The client is elderly, lives alone, and takes multiple medications for chronic illnesses. The nurse notes that the client’s wound shows signs of delayed healing. Which factor does the nurse recognize as being least likely to be a contributing factor for the delayed healing?      

A client is receiving TPN. The client’s wife wants to know why the TPN bag is not changed as often as a regular IV bag of fluid would be. The nurse’s best response would be: 

______ Telemetry Monitoring

A nurse is assessing the nasal passages of a client before inserting a nasogastric tube. Which of the following excludes a nostril for tube insertion? SELECT ALL THAT APPLY  

The nurse is admitting a bed-ridden older adult client to a rehab hospital. During the initial assessment, the nurse notices the photograph below on the client’s left heel. Which staging will the nurse document in the client’s record?

Which position is the BEST position for a client to be placed in when inserting a nasogastric tube?   

A client is scheduled for surgery, and the nurse a baseline electrocardiogram (ECG) is necessary. Which instruction to the client by the nurse is accurate?  

______ Endoscopic Examinations

Which of the following statements is true about a Nasointestinal tube?  

The nurse assesses a client’s wound. Which documentation will the nurse make to indicate a possible infection?