While ventilating an intubated patient, you note a complete…
While ventilating an intubated patient, you note a complete loss of capnographic waveform and numeric value, yet the patient’s chest rises with ventilations, and you are able to hear bilateral breath sounds. What should you do?
Read DetailsA client has severe limitations with ambulation, spending mu…
A client has severe limitations with ambulation, spending much of the time in the chair only making slight changes in body positioning without assistance. The client frequently slides down in the chair and requires boosting assistance and only consumes about ½ of any food offered with 3 servings of protein daily. The client has required frequent linen changes at least 1x per shift but is able to communicate discomfort without difficulty. What is the most appropriate Braden Score for this client?
Read DetailsA middle-aged client has sought care because they have itchy…
A middle-aged client has sought care because they have itchy, reddened areas on the backs of both of their hands and most of their fingers. On closer inspection, the nurse notes several cracks in the skin on these regions and observes that the client’s skin is exceptionally dry. What question should the nurse prioritize during this client’s assessment?
Read DetailsA middle-aged client has sought care because they have itchy…
A middle-aged client has sought care because they have itchy, reddened areas on the backs of both of their hands and most of their fingers. On closer inspection, the nurse notes several cracks in the skin on these regions and observes that the client’s skin is exceptionally dry. What question should the nurse prioritize during this client’s assessment?
Read DetailsAn adult patient presents to the urgent care clinic after sl…
An adult patient presents to the urgent care clinic after slipping on wet pavement. During the assessment, the nurse notes discoloration on the lateral aspect of the right upper arm. The area is tender to touch and appears bluish-purple. Which term should the nurse use to document this finding?
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