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While recovering from surgery, a 74-year-old woman started taking Senokot (senna) to relieve constipation caused by pain medications. Two weeks later, at her follow-up appointment, she tells the nurse that she likes how ‘regular’ her bowel movements are now that she is taking the laxative daily. The nurse explains to the client that  

When measuring the size, depth, and tunneling of a wound, the nurse preceptor intervenes when the graduate nurse  

The nurse is contacting the health care provider regarding a client’s sleep problem. Place the steps of the SBAR in the correct order. “I’m calling to ask if you would order a hypnotic such as Ambien (zolpidem) to use on a prn basis.” “Dr. Cline, this is Renata, the nurse caring for Mrs. Perry. I’m calling because Mrs. Perry is having difficulty sleeping.” Perry, 36 years old, was admitted 3 days ago following a motor vehicle accident. She is in a balanced skeletal traction for a fractured left femur. She is having difficulty falling asleep. Perry is taking her pain medication every 4 hours as ordered and rates her pain as 8 out of 10. Last night she was still awake at 0100. She states that she is comfortable but she can’t fall asleep. Her vital signs are T98.8 P 78 R 16 BP 124/71.

Which statements are correct about the principles of educating clients? SELECT ALL THAT APPLY.  

When caring for a client with a venous stasis ulcer, which assessment is most important for the nurse to perform?  

The client with quadriplegia presents to the outpatient clinic with a sacral wound that extends through the epidermis into the dermis. When documenting the depth of the wound, how would the nurse classify it?  

The nurse is initiating a 24-hour urine collection for a client at home. What will the nurse instruct the client to do at the beginning of the specimen collection?  

Which lung sounds would the nurse expect to hear on a client admitted with pulmonary edema?  

A client hospitalized in a long-term rehabilitation facility is immobile and has a wound on her coccyx measuring 5cm by 3 cm. Depth cannot be obtained since the area is covered with 100% eschar. The nurse would identify this wound as a(an)  

What does the Braden Scale evaluate?