A nurse is planning care for a client with sensory deficits. Which outcome is both realistic and measurable?

A client with a history of end-stage renal disease requiring dialysis presents for emergency surgery after sustaining a traumatic injury. The nurse evaluates the client’s surgical risk. What ASA classification should the nurse assign?

A client with a recent diagnosis of macular degeneration has been receiving nursing interventions to enhance safety and promote independence. The nurse evaluates the effectiveness of these interventions. What statement by the client indicates a successful outcome?

A nurse is educating an older adult about strategies to prevent sensory impairments. Which recommendations should the nurse provide? Select all that apply.

A nurse is assessing a client with sensory deficits. Which observations indicate the nurse is applying critical thinking in clinical decision-making? Select all that apply.

A client is scheduled for an elective surgery. The nurse reviews the client’s history and notes that the client has a well-controlled diagnosis of hypertension and a BMI of 32. The nurse classifies the client’s preoperative risk status. What American Society of Anesthesiologists (ASA) Physical Status Classification should the nurse assign?

A circulating nurse is assessing a client in the OR. What is the priority assessment when positioning the client on the operating table?

A nurse is evaluating the effectiveness of a wound management plan for a client with a chronic pressure injury. The nurse observes that the wound has a significant amount of serous exudate, is surrounded by macerated skin, and healing appears to be stalled. Based on this assessment, what is the most appropriate nursing action to promote wound healing?

A client with a progressive cataract reports difficulty navigating stairs and reading fine print. The nurse uses clinical judgment to determine an appropriate nursing diagnosis. What is the priority nursing diagnosis for this client?

A client who has been on bed rest for two weeks reports feeling confused, anxious, and has difficulty concentrating. The nurse suspects sensory deprivation. What findings support this suspicion? Select all that apply.