The nurse enters a client’s room and notices the client’s sp…

The nurse enters a client’s room and notices the client’s spouse is transferring the client to the wheelchair abruptly. The client exhibits several bruises and appears to be scared. The nurse suspects the client’s spouse is verbally and physically abusive.  What is the nurse’s best action when encountering the client’s spouse in the room prior to taking a health history?

The nurse is caring for a client who is on bed rest after ab…

The nurse is caring for a client who is on bed rest after abdominal surgery. When the client complains of a “popping sensation” and wetness on the dressing, the nurse immediately suspects wound eviscerations.  Which priority independent nursing intervention is most likely to be taken by the nurse before contacting the provider?