The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority?

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect?

A patient with a hip fracture is having difficulty defecating into a bedpan while lying in bed. Which action by the nurse will assist the patient in having a successful bowel movement?

Which of the following is a common symptom of a urinary tract infection?

Which of the following is a common risk factor for developing a urinary tract infection (UTI)?

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?

A nurse is assessing a client who has urinary retention. Which of the following findings should the nurse expect?

A nurse is caring for a light-skinned client who has an ileostomy.

The nurse is reviewing the client's medical record. Click to highlight the findings that require intervention by the nurse. To deselect a finding, click on the finding again.

The nurse is reviewing the client's medical record.

Click to highlight the findings that require intervention by the nurse. To deselect a finding, click on the finding again.

Day 1:

• Abdomen soft, nondistended.
• Ileostomy present. Stoma is red.
• Stoma draining brown liquid stool
• Client will not look at stoma

Client states they are not interested in learning about stoma care

Day 2:

• Ileostomy pouch changed.
• Skin surrounding stomas reddened and has small open areas
• stoma with small amount of bleeding noted during cleaning.

A nurse is assessing a client who has had staples removed from an abdominal wound postoperatively. The nurse notes a wide separation of the wound edges with light serosanguineous drainage. Which of the following actions should the nurse perform first?

A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?