The nurse is assessing a client's stoma after a newly placed ostomy. The nurse understands that which of the following are expected findings of a healthy appearing stoma?

Where does gas exchange occur?

A client had his foley catheter removed eight hours ago and is unable to void. The nurse performs a bladder scan to check bladder volume. The bladder scan demonstrates more than 600mL of urine in the bladder. What should the nurse do next?

A 65 year old client is being seen at the outpatient clinic for a routine physical exam. The abdominal assessment shows distention, firmness, and the client states tenderness throughout the 4 quadrants. Upon further questioning of the client the following is determined; a slight decrease in appetite. consumes 320 mL of water per day along with 320 mL of other fluids such as coffee and soda, snacks frequently on cheese and crackers rather than full meals, and does not get much activity. Client states they have one to two bowel movements per week of hard formed stool. Based on the physical assessment and the answered questions what would be the recommended interventions for this client?

SELECT ALL THAT APPLY.

A client is visiting the doctor for a follow up appointment following multiple prescribed diagnostic tests after complaining of fatigue, weight loss and shortness of breath with minimal activity. The doctor has diagnosed the client with chronic obstructive pulmonary disease (COPD) and explained that they are going to start them on some bronchodilators and inhaled steroid medications. The patient states to the nurse that they will be glad to just get this disease over with and get back to there normal routine. What is the nurse's best response?

A nurse is reviewing factors that increase the risk of urinary tract infections (UTIs) with a female client who has recurrent UTIs. Which of the following factors should the nurse include? Select all that apply.

While reading a physician's progress notes a student notes that an assigned client is having hypoxia. What abnormal assessments would the student expect to find?

For which of the following clients should the nurse anticipate the need for a pureed diet?

A 73 year old client has been admitted to the hospital for their respiratory disease of COPD. The client states that they have no appetite and eat very little throughout the day due to shortness of breath. The client also states that they have lost significant amounts of weight over the past several months. The nurse caring for the client is concerned that the client may be suffering from malnutrition. Which lab value would the nurse want to check to determine if the client is malnourished?

A client is ordered to increase his warfarin to 5mg PO daily. The client has 2mg tablets on hand. How many tablets will the client take daily?

The nurse is obtaining morning vital signs and assessing a 64 year old female client who was admitted with community acquired pneumonia over night. The client is sleeping in supine position, however, she is easily arousable, alert and oriented, and reports no complaints at this time. The client's vital signs are: blood pressure 132/68, heart rate 88 beats per minute, respiratory rate 24 breaths per minute. O2 saturation 87% on 2L nasal cannula oxygen. What is the nurse's first priority action?