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A nurse is assessing a patient’s wound. The wound has wide edges, is not approximated, and is healing with granulation tissue filling in the space. Based on these observations, which type of wound healing is occurring?

A patient taking diphenhydramine for seasonal allergies reports unusual bruising and pinpoint red spots on their skin. The nurse recognizes these findings may indicate which adverse effect?

Mrs. Evelyn Carter, a 72-year-old with congestive heart failure (CHF) and chronic kidney disease (CKD) is on strict I&O monitoring during your 7:00 AM – 7:00 PM shift. At 8:00 AM, she drinks 240 mL water with meds. At 9:30 AM, she consumes 120 mL orange juice. By 10:15 AM, 250 mL IV fluids have infused. At 12:00 PM, she drinks 180 mL chicken broth and 150 mL iced tea, then voids 500 mL at 12:30 PM. After physical therapy at 2:30 PM, she drinks 200 mL water. At 3:00 PM she vomited 150 mL. By 4:00 PM, another 250 mL IV fluids have infused. At 4:30 PM, her JP drain collects 50 mL. At 6:00 PM, she drinks 180 mL coffee and 120 mL soup, then voids 600 mL at 6:30 PM. Calculate total intake and total output for this patient.Then calculate the patient’s net balance (be sure to include if it is + or -)Label Your AnswersEx: Intake (xxx mL), Output (xxx mL), Net Balance (+/-xxx mL)

A nurse is caring for a patient who has been placed in soft wrist restraints for safety. Which nursing intervention is most appropriate?

A nurse is assessing a patient with respiratory distress. Which statement correctly differentiates hypoxemia from hypoxia?

A patient reports symptoms of infrequent bowel movements, abdominal discomfort, and a feeling of incomplete evacuation. Which of the following actions will the nurse take first?

The LPN/LVN is assessing multiple patients’ positioning. Which patient is correctly placed in the semi-Fowler’s position?

A nurse is caring for a patient with a fecal impaction. After administering an oil-retention enema with no results, the nurse proceeds with digital disimpaction. During the procedure, the nurse must closely monitor the patient for which potential complication?

Did you complete the EBP Then and Now Project with your group?

A nurse is caring for a patient with a history of COPD who requires supplemental oxygen. What is the most appropriate method of oxygen delivery for this patient?