The nurse identifies bright red drainage, about 2.4 inches (6 cm) in diameter,
on the dressing of a client who is one day post abdominal surgery. Which
action should the nurse take next?
A. Mark the drainage on the dressing and take vital signs.
B. Notify the healthcare provider of a potentia...
✓ Recognizing normal variations in individuals with varying skin tones
helps the nurse differentiate any early signs of pathology, such as
yellow sclerae. Recognizing age-related changes will also assist the
nurse to differentiate pathological changes in the elderly.
The nurse identifies a client with mental impairment and decreased nutritional
intake. They have increased confusion and have had a weight loss of over 30
pounds in the last 6 months. Based on the nursing problem of decreased
nutritional intake, which short-term goal best is for this client?
A. Eat 50% of six small meals each day by the end of one week.
B. Meals prepared during hospitalization will be fed by the nurse.
C. Verbalize understanding of plan and of intention to eat meals.
D. Demonstrate progressive weight gain toward the ideal weight.
Master01 | October, 2024/2025 | Latest update
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