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Clients of various ages and health conditions are at risk for pressure injury formation. What is an evidence-based way to identify each client’s level of risk?

A client comes to the emergency department with major burns on over 40% of their body. Although all of the following are true, which one would provide the rationale for a nursing diagnosis/clinical problem of Risk for Infection?

A client arrives in the ER after sustaining an injury to their hand that involves a significant tissue loss. The edges of the wound are jagged and impossible to approximate. How will this wound heal with no intervention?

Applying the gate control theory of pain, which nursing intervention would be most effective for a client with low back pain?

A nurse is planning care for a 2-month-old infant following a surgical procedure. Which pain rating scale should the nurse plan to use to determine the infant’s level of pain?

Due to the reduced inflammation and immune response system, which patient would present with abnormal manifestations of a healthcare-associated infection based on your knowledge of this population?

What is an expected desire for a client undergoing a bowel training program?

While completing an admission skin assessment in a long-term care facility, a resident is found to have full-thickness skin and tissue loss on their right hip. The pressure injury is obscured by slough and eschar. Based on this assessment finding, what stage of pressure injury is present?

A client had abdominal surgery this morning. The nurse notices that there is a small amount of pink drainage on the surgical dressing. The nurse would document this as what type of drainage?

The nurse is providing care to a team of clients. Which clients are at risk for injury to the skin? (Select all that apply.)