A nurse evaluates a 42-year-old client who recently transitioned from day shift to permanent night shift work (11 p.m. to 7 a.m.). The client reports difficulty sleeping during the day despite blackout curtains, decreased appetite, and a 5-pound weight loss over 3 weeks. Which physiological change best explains these manifestations?

A nurse evaluates a 58-year-old client with progressive hearing loss who recently stopped attending weekly card games with friends and declined a family reunion invitation. The client states, “It’s just easier to stay home where I don’t have to struggle to understand everyone.” The client’s spouse reports the client seems withdrawn and “not like themselves anymore.” Which wellness dimension is MOST significantly impacted by this client’s sensory alteration?

A nurse evaluates outcomes for clients in a sleep disorders program after 8 weeks of nonpharmacological interventions. Which findings indicate effective sleep therapy? (Select all that apply)

The nurse is caring for a postoperative client. What interventions promote normal gastrointestinal function and prevent complications? Select all that apply.

A nurse cares for a postoperative client (day 2) with a Stage 2 pressure injury on the right hip and a 4 cm area of blanchable erythema on the sacrum. The client rates pain as 8/10 and states, “I’m afraid to move because it hurts too much.” Physical therapy is scheduled in 30 minutes. Which nursing action demonstrates appropriate clinical judgment in priority setting?

A nurse evaluates four clients for aspiration risk during mealtime. Client A has Parkinson disease with intact gag reflex and normal alertness. Client B had a stroke 2 days ago with decreased level of consciousness and difficulty managing saliva. Client C has GERD with normal swallowing and full alertness. Client D has mild dementia with intact cough reflex and normal voice quality. Which client requires the most immediate aspiration precautions?

A nurse is teaching a family caregiver about assessing their elderly client’s skin for early signs of pressure injury development at home. Which of the following assessment techniques and considerations are appropriate for the caregiver to learn and implement? Select all that apply.

A preoperative nurse assesses a 72-year-old client scheduled for abdominal surgery. Which co-morbid conditions significantly increase this client’s postoperative complication risks? (Select all that apply)

A client with 35% total body surface area deep partial-thickness burns from a house fire is admitted to the burn unit. Which risk factors place this client at highest risk for fluid, electrolyte, and acid-base imbalances? (Select all that apply)

A nurse assesses an 85-year-old client with advanced dementia following hip surgery. The client cannot verbally communicate pain intensity but exhibits restlessness, facial grimacing, and resists repositioning. The family states, “She’s always confused, so this is normal behavior.” Which nursing action demonstrates appropriate clinical judgment?