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A nurse is caring for a group of clients on a medical-surgical unit. Which of the following situations requires that the nurse wear gloves? (Select all that apply.)

A clinic nurse is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client’s potential allergies during which phase of the nursing process?

13. A nurse has received a health care provider’s prescription to transfer a client to the chair. This is the client’s first time out of bed during this hospitalization. How should the nurse proceed?

21. The nurse is observing an unlicensed assistive personnel (UAP) caring for a client who has hepatitis B. Which action, performed by the UP is not correct?   

5. A client has edema in the lower extremities and needs to be repositioned. The nurse should place this client in which of the following positions?

1. A bed-bound, elderly client has a pressure ulcer that looks like a shallow crater and involves the epidermis and dermis. The pressure ulcer is in which stage?

15. A nurse is assessing a client and notes that the client’s lower extremities are cold to touch, hairless, pale in appearance, the capillary refill is greater than 3 seconds, and the dorsalis pedis pulse is absent.  These assessment findings are consistent with what circulatory complication?

6. Which client would be at the greatest risk for a pressure wound?

13. A nurse has received a health care provider’s prescription to transfer a client to the chair. This is the client’s first time out of bed during this hospitalization. How should the nurse proceed?

4. A nurse is caring for a client with documented orthostatic hypotension. Which nursing intervention would be most beneficial to this patient to reduce the risk of falls?