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The nurse is caring for a patient with a chronic wound that causes significant anxiety due to frequent missed days of work and loss of income. Which of the following is the highest priority nursing diagnosis?

A nurse is caring for a patient that is hospitalized with unstable Diabetes Mellitus. The patient’s culture believes that releasing “bad blood” helps to cleanse the body. Which of the following is the most appropriate action for the nurse to take?

A patient with multiple nevi (moles) expresses concerns regarding their presence and the possibility of malignant changes. What is the best response by the nurse?

Which nursing diagnosis would be appropriate for a patient who has a foley catheter if the drainage bag is found lying on the floor?

A person who uses the title of registered nurse or R.N. without holding a license to practice as a registered nurse is guilty of what?

The nurse is performing a skin assessment and notes a yellow tinge to the patient’s body. What is the term that the nurse will use to document this finding?

A nurse is caring for a patient with a Fentanyl (Duragesic) patch. She assesses the patient and finds him to be abnormally sleepy, is slurring words, has a glassy far away look in the eyes and is extremely unsteady when attempting to ambulate to the bathroom approximately 10 feet away. These signs/symptoms that the patient is exhibiting appear to be ones related to toxicity. What is the next priority nurse action?

The nurse notes an S3 heart sound while performing an assessment on a patient admitted with acute myocardial infarction. The nurse notifies the physician of the finding which most likely suggests which of the following issues?

A client who resides in a long-term care facility has no family or visitors. Her only social contacts are with the staff. The client is confined to bed and is not able to communicate verbally. As part of the client’s care plan, the nurses provide massage therapy three times a week. What is the priority benefit of this intervention on the plan of care for this client?

An older client has an oral temperature reading of 96.8 degrees F and states they feel cold. Which interventions could help increase the client’s temperature? Select all that apply.