1. A bed-bound, elderly client has a pressure ulcer that looks like a shallow crater and involves the epidermis and dermis. The pressure ulcer is in which stage?

15. A nurse is assessing a client and notes that the client’s lower extremities are cold to touch, hairless, pale in appearance, the capillary refill is greater than 3 seconds, and the dorsalis pedis pulse is absent.  These assessment findings are consistent with what circulatory complication?

6. Which client would be at the greatest risk for a pressure wound?

13. A nurse has received a health care provider’s prescription to transfer a client to the chair. This is the client’s first time out of bed during this hospitalization. How should the nurse proceed?

4. A nurse is caring for a client with documented orthostatic hypotension. Which nursing intervention would be most beneficial to this patient to reduce the risk of falls?

A nurse is calculating the intake of a client during the past 9 hr. The client’s intake includes: D5 1/2NS IV at 125 mL/hr cefazolin 2 gm IVPB in 50 mL of 0.9% sodium chloride two units of packed RBCs of 300 mL and 265 mL two IVPBs of 250 mL of 0.9% sodium chloride 1 cup of ice chips How many mL of intake should the nurse record?

A  According to Peplau, a nurse who provides an abandoned child with parental guidance and praise following small accomplishments is serving which therapeutic role?

Anna’s dog Jax ran away from her while they were on a hiking trail.  He ran into the street and was hit by a car.  Anna cannot remember any of these circumstances of his death.  This is an example of what defense mechanism?

Where did Carmencita reside at her new home after her Aunt’s death?

The famous Spanish actress, Maribel Verdú, plays the part of …