A nurse is performing a physical assessment of a patient who is experiencing fluid volume excess. Upon examination of the patient's legs, the nurse documents: Pitting edema; 8-mm pit. Pit remained for 4 minutes after pressing. What grade of edema has this nurse documented?

The nurse is preparing to assess a client's oral temperature. The nurse should plan to place the thermometer probe in which area of the client's mouth?

Which of the following is the best example of a measurable client goal? The client will:

A nurse is caring for a client who is being treated for bladder infection. The client reports to the nurse that he has been having painful burning with urination. How should the nurse document the client's condition?

The nurse is performing a head-to-toe assessment on a patient. The nurse uses their thumb and first finger to lift or pinch a fold of skin under the clavicle to check for skin turgor. Which of the following findings would be considered normal for this assessment?

Ancient has developed dysphagia secondary to a cerebrovascular accident. The doctor has ordered pureed diet with nectar thick liquids. Which of the following would be appropriate for this client?

A home care nurse is caring for a comatose patient who requires total care. A visitor stops by the house identifying as a family friend and inquires about the patient's condition and if there is anything they can do to help the family. How should the nurse respond to maintain HIPAA compliance?

While caring for a female patient with advanced multiple sclerosis, the nurse is discussing the difference between hospice and palliative care. Which statement by the patient indicates understanding of the difference between hospice care and palliative care?

A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, the dietitian informs the group that there are six classes of nutrients, and three supply the body with energy. Which of the following are the three energy supplying nutrients?

The home health nurse notes the client has gained 5 pounds overnight and has increased edema in the lower extremities. The nurse is calling the physician to obtain an order over the phone for furosemide medication. The physician gives an order and the nurse enters the order in the client's medical record. What will the nurse do next after writing down the order?

The nurse is planning to care for a client with an indwelling catheter. Which of the following measures should the nurse implement when performing hygiene care in regards to the indwelling catheter?