A long-term care client initially presented with a sacral pr…
A long-term care client initially presented with a sacral pressure injury characterized by full-thickness skin and tissue loss with exposed muscle and bone. After several months of intensive wound care, the wound bed is now significantly smaller, healthy granulation tissue is abundant, and the tunneling has resolved. How should the nurse accurately describe the current state of this client’s pressure injury in the medical record?
Read DetailsA client recovering from a stroke has difficulty perceiving…
A client recovering from a stroke has difficulty perceiving objects on their left side and does not acknowledge people approaching from that direction. The nurse understands that this is an example of which sensory alteration?
Read DetailsA nurse evaluates a 42-year-old client on postoperative day…
A nurse evaluates a 42-year-old client on postoperative day 8 following exploratory laparotomy. The incision appears pink with visible capillary loops, and the client reports the wound feels “tight.” Laboratory results show hemoglobin 10.2 g/dL and albumin 3.0 g/dL. Which physiological process best explains the wound’s current appearance and the client’s sensation of tightness?
Read DetailsA 55-year-old client with chronic kidney disease (CKD) stage…
A 55-year-old client with chronic kidney disease (CKD) stage 4 (GFR 22 mL/min) presents with serum potassium of 6.8 mEq/L. The client reports using a salt substitute and taking lisinopril. Which physiological mechanism is most impaired in this client’s hyperkalemia?
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