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A nurse notes that a client is at risk for pressure injury and implements nursing care for prevention.    After 3 days, the nurse notes a small-reddened area on the client’s back, where a pressure injury is now forming.  Utilizing the nursing process, what is the most appropriate nursing action?

A client asks how a vaccine works in the body to protect from future exposures to diseases against which they may be vaccinated against. What would be the best response by the nurse? 

A surgical client develops a wound infection during hospitalization. What classification is this type of infection?

The nurse is concerned the client’s abdominal wound is at risk for dehiscence. Which is the best intervention to prevent this complication? 

A nurse is assessing a variety of wounds.  Which type of wound should the nurse anticipate will heal by secondary intention?

A 40 year old nurse is taking a health history from a 20 year old Hispanic male.  The nurse notes that the client looks at the floor when answering questions.  What should the nurse understand about this behavior?

A nurse is caring for an elderly client who is receiving fluids for dehydration. Which outcome criteria for this client is stated correctly?

A nurse realizes that the dosage of the medication administered to the client has been entered incorrectly into the client written records. Which entry into the documentation would be most appropriate?

You are preparing to administer a sublingual medication. Which of the following instructions to the client is correct?

The nurse is assessing a client admitted to the hospital with complaints of left-sided weakness being unable to perform personal hygiene with difficulty speaking. Which example of documentation contains data that best represents this nursing assessment?