The nurse caring for clients in a long-term care facility knows that there are factors that place certain clients at a higher risk for falls. Which clients would the nurse consider to be in this category? Select all that apply.

The nurse has assessed an IV site that showed signs of tissue damage as a result of the IV medication infusing into the tissue instead of through the vein. What type of serious IV complication did the nurse assess?

A nurse is caring for a group of clients experiencing various medical conditions. The client with which condition is at the greatest risk for a wound infection?

While making rounds at 2:00 am, the nurse had a difficult time arousing a client from sleep. What phase of sleep was the client likely in?  

A client’s bed partner reports the client often has irregular snoring and silence followed by a snort. What sleep disorder does the nurse suspect based on the description?

Which comment made by a 70-year-old male client should raise concern for the nurse?

A client’s bed partner reports the client often has irregular snoring and silence followed by a snort. What sleep disorder does the nurse suspect based on the description?

A client with tuberculosis is being admitted to a health care facility. Knowing that the respiratory particles are smaller than 5 microns, which type of precautions will be instituted at this time?

A client’s serum potassium level is 2.2 mEq/L. Which nursing action is the highest priority for this client?

A nurse is planning care for a client with a wrist restraint. How often should the nurse assess the client for safety while in restraints?