Explain the principles of safe transfer and positioning techniques and the nurse’s responsibilities.

A client with a full-thickness wound has entered the remodeling and maturation phase of healing. The nurse explains to the client that this phase can continue for an extended period. What is the primary characteristic of the scar tissue formed during this final phase?

A nurse is developing expected outcomes for a client with a chronic, non-healing wound that has been complicated by poor nutrition. Which of the following examples of outcomes are appropriate and measurable for this client’s care plan? Select all that apply.

A client is scheduled for surgery. The nurse conducts a preoperative assessment. What finding increases the client’s risk for decreased cardiac output during the perioperative period?

A nurse is performing a skin assessment on an immobile client and observes an area on the sacrum. The skin is intact, but there is a localized, nonblanchable area of erythema. Upon palpation, the nurse notes the area feels firmer and is slightly warmer than the surrounding skin. There is no purple or maroon discoloration. How should the nurse correctly stage this pressure injury?

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.