The assistive personnel has bathed the client who is in restraints. Upon assessing the client on hourly rounds, the nurse determines the client’s restraints have safely been applied. What assessment(s) represent a rationale that validates the nurse’s findings? (Select all that apply)

During this phase of wound healing blood vessels constrict, blood clotting begins, exudate is formed and heat and redness are observed:

The nurse is caring for two clients. One of the clients has a Jackson-Pratt drain, and the other client has a Hemovac drain. Which does the nurse understand is the difference between these two drains?

A nurse is preparing a client for discharge and providing instructions for performing dressing changes at home. Which of the following statements should the nurse identify as an indication that the client understands medical asepsis?

A community health nurse is preparing a campaign about seasonal influenza. Which of the following plans should the nurse include as a secondary prevention?

Which does the nurse determine is a specific line of defense against infection?

Which data regarding a client with a diagnosis of colon cancer are subjective? (Select all that apply)

150 mcg of Estinyl (ethinyl estradiol) has been prescribed. 0.05 mg of Estinyl is available in tablets. How many tablets should be administered?

The nurse is administering an enema for a client who tested positive for intestinal parasites. Which type of enema is expected to be ordered for this client?

A nurse is assessing a client with a stage 3 pressure injury. What assessment of the pressure injury would be expected?