A nurse is providing preoperative teaching to a client over the phone in preparation for outpatient surgery. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident. Which of the following prescriptions should the nurse anticipate to prevent a plantar flexion contracture of the affected extremity?

A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?

A nurse is providing teaching about health promotion guidelines to a group of young adult male clients. Which of the following guidelines should the nurse include?

A nurse is caring for a client who has an ileostomy.
Nurses' Notes
Day 1:

• Client is alert and oriented.
• ileostomy stoma is pink.
• Stoma draining moderate brown liquid stool.
• Client will not look at the stoma.
• Client states they are not interested in learning about stoma care.
• Intake: 2,200 mL over the last 24 hr
• Urine output: 1,200 ml over the last 24 hr

Day 2:

• ileostomy pouch changed. Skin surrounding the stoma is reddened and appears irritated
• initiated a request for a referral to an ostomy nurse.
• intake. 1,600 mL over the last 24 hr
• Urine output: 650 mL over the last 24 hr

The nurse is reviewing the client's medical record. Select the information that requires intervention by the nurse.

A nurse is performing a skin assessment on an older adult client. Which of the following findings should the nurse expect?

A nurse is providing teaching to a client who is to self-administer an ophthalmic solution. Which of the following statements by the client indicates an understanding of the teaching?

A nurse enters a client's room and discovers a smoldering fire in the drapes. After moving clients to a safe location, which of the following actions should the nurse take next?

A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?

A nurse is providing instruction to a client who has diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is planning care for a client who has a prescription for extremity restraints on both wrists. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)