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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?    

When packing an open wound, what is important for the nurse to perform?  

The nurse assesses an oral temperature for an adult client and records that the client is “afebrile.” What would be the nurse’s best response to this finding?  

The nurse is caring for a client admitted with an opioid overdose. Upon assessment, the client is drowsy and has arterial blood gas (ABG) results of pH 7.32, PaCO2 50, HCO3 22, POx 96%. What is the most appropriate intervention by the nurse at this time?  

Which of the following clinical manifestations would have the highest priority to report to the healthcare provider?  

 Phenylketonuria (PKU) is an inherited disease caused by a recessive allele. If a woman and her husband are both carriers, what is the probability that a child will be of normal phenotype?