A surgical incision that is healing by secondary intention develops a thick tan exudate. Which action should the nurse take first?

A client with a colostomy tells the nurse about making small pin holes in the drainage bag to help relieve the gas that collects. Which action should the nurse implement?

The nurse observes a client demonstrate self-administration of an 80 mL bolus feeding through a gastrostomy tube (GT). The client pours 40 mL of formula into a feeding syringe and allows the solution to flow in by gravity. When the syringe is completely empty, the client adds an additional 40 mL of the formula, followed by 50 mL of water. Which instruction should the nurse provide to the client?

The nurse is teaching a client how to do active range of motion (ROM) exercises. To exercise the hinge joints, which action should the nurse instruct the client to perform?

An older adult client arrives to the emergency department after experiencing two days of fever, nausea, and vomiting. The client gives the nurse a bag of home medications and reports a history of insulin dependent diabetes mellitus with an onset of blurred vision. Which intervention should the nurse implement first?

When evaluating the effectiveness of a client's nursing care, the nurse first reviews the expected outcomes identified in the plan of care. What action should the nurse take next?

The nurse is teaching another nurse about the administration of medication using the Z track technique. Which is the primary reason for using a Z track technique to administer a medication?

A client is having trouble breathing while lying in a dorsal recumbent position. Which action should the nurse implement first?

The palliative care nurse is admitting a client who has metastatic bone cancer and is unable to eat or drink without immediate nausea and vomiting. The client is complaining of pain at 9 on a 0 to 10 pain scale, and the vital signs are: heart rate 99 beats/minute, respirations 38 breaths/minute, oxygen saturation 95%, and blood pressure 110/80 mm Hg. Which Intervention should the nurse implement?

The nurse is completing an assessment of an older adult client recovering from a total hip replacement. The client reports a decreased appetite and is concerned about having not had a bowel movement for several days. Which intervention should the nurse implement first?

A client has been on bed rest following a cerebrovascular accident or stroke that occurred two days ago. On the third day, the plan of care includes getting the client out of bed and into a bedside chair. Prior to assisting the client out of bed for the first time, which action should the nurse take?