A nurse is assessing a client who is in skeletal traction.
Which of the following findings should the nurse identify as an indication of infection at the pin sites?

A nurse is caring for a client who is cognitively impaired and repeatedly pulls on his NG tube.
Which of the following actions should the nurse take before requesting a prescription for restraints? (Select all that apply.)

A nurse in an emergency department is caring for a client who has burns on the front and back of both arms.
Using the rule of nines, the nurse should document burns to which percentage of the client’s total body surface area (TBSA)?

A nurse in a clinic is caring for a female client who has a new diagnosis of acne vulgaris on her cheeks. Which of the following should the nurse include in the teaching plan for this client?

A nurse is preparing to administer ziprasidone 10 mg IM every 6 hr. Available is ziprasidone 20 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.

Use a leading zero if it applies.
Do not use a trailing zero.) mL. .

A nurse is admitting a client who has sustained severe burn injuries in a grease fire.

Using the Rule of Nines, the nurse should estimate that the client has burned the nearest tenth. Use a leading zero if it applies.

Do not use a trailing zero.

A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation?

The emergency service team brings a homeless client found lying in an alley to the emergency department. An assessment is performed, and the client is suspected of having frostbite of the hands.
Which finding would the nurse expect to note in this condition?

A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine.
Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?

A client diagnosed with diverticulitis has been experiencing episodes of gastrointestinal cramping. The nurse should tell the client to maintain which type of diet during the asymptomatic period?

A client with a diagnosis of valvular heart disease is being considered for mechanical valve replacement. Which circumstance is essential to assess before the surgery is performed?