Prevention, Thromboembolism Prophylaxis, Postoperative Risk Reduction, Wound Healing Physiology, Secondary Intention Repair, Evisceration Emergency Management, Infection Recognition, Therapeutic Communication Strategies, Active Listening Techniques, HIPAA

Prevention, Thromboembolism Prophylaxis, Postoperative Risk Reduction, Wound Healing Physiology, Secondary Intention Repair, Evisceration Emergency Management, Infection Recognition, Therapeutic Communication Strategies, Active Listening Techniques, HIPAA Compliance Standards, Legal Documentation Principles, Incident Reporting Protocols, Safe Telephone Prescriptions, Delegation and the Five Rights Framework, Scope of Practice Boundaries, Admission and Discharge Planning Essentials, Interfacility Transfer Responsibilities, Gastrointestinal Assessment and Elimination Management, Enema Administration Safety, Peptic Ulcer and Pancreatitis Care, Dumping Syndrome Recognition, Celiac Disease Dietary Modifications, Urinary Catheterization Competency, Bladder Retraining Programs, Urinary Tract Infection Prevention, and Evidence-Based Nursing Prioritization and Clinical Judgment Exam Questions Verified and Complete with A+ Graded Rationales Latest Updated 2026{Provided with Multiple Answers} A nurse is caring for a client who has been sitting in a chair for 1 hr. Which of the following complications is the greatest risk to the client? A. Decreased subcutaneous fat B. Muscle atrophy C. Pressure ulcer D. Fecal impaction C. Pressure ulcer A nurse is caring for a client who is postoperative. Which of the following interventions should the nurse take to reduce the risk of thrombus development? (select all that apply) A. Instruct the client not to perform the Valsalva maneuver. B. Apply elastic stockings C. Review laboratory values for total protein level. D. Place pillows under the client's knees and lower extremities. E. Assist the client to change position often. B. Apply elastic stockings E. Assist the client to change position often. A nurse is planning care for a client who is on bed rest. Which of the following interventions should the nurse plan to implement? A. Encourage the client to perform antiembolic exercises every 2 hr. B. Instruct the client to cough and deep breathe every 4 hr. C. Restrict the client's fluid intake. D. Reposition the client every 4 hr. A. Encourage the client to perform antiembolic exercises every 2 hr. A nurse is evaluating teaching on a client who has a new prescription for a sequential compression device. Which of the following client statements should indicate to the nurse the client understands the teaching? A. "This device will keep me from getting sores on my skin." B. "This thing will keep the blood pumping through my leg." C. "With this thing on, my leg muscles won't get weak." D. "This device is going to keep my joints in good shape." B. "This thing will keep the blood pumping through my leg." A nurse is instructing a client, who has an injury on the left lower extremity, about the use of a cane. Which of the following instructions should the nurse include? (select all that apply.) A. Hold the cane on the right side. B. Keep two points of support on the floor. C. Place the cane 38 cm (15 in) in front of the feet before advancing. D. After advancing the cane, move the weaker leg forward. E. Advance the stronger leg so that it aligns evenly with the cane. A. Hold the cane on the right side B. Keep two points of support on the floor. D. After advancing the cane, move the weaker leg forward. A nurse is caring for an adolescent client who is 2 days postoperative following an appendectomy and has type I diabetes mellitus. The client is tolerating a regular diet. He has ambulated successfully around the unit with assistance. He requests pain medication every 6 to 8 hr while reporting pain at a 2 on a scale of 0 to 10 after receiving the medication. His incision is approximated and free of redness, with scant serous drainage on the dressing. The nurse should recognize that the client has which of the following risk factors for impaired wound healing? (select all that apply) A. Extremes in age B. Impaired circulation C. Impaired/suppressed immune system D. Malnutrition E. Poor wound care B. Impaired circulation C. Impaired/suppressed immune system A nurse is collecting data from a client who is 5 days postoperative following abdominal surgery. The surgeon suspects an incisional wound infection and has prescribed antibiotic therapy for the nurse to initiate after collecting wound and blood specimens for culture and sensitivity. Which of the following finds should the nurse expect? (select all that apply) A. Increase in incisional pain B. Fever and chills C. Reddened wound edges D. Increase in serosanguineous drainage E. Decrease in thirst A. Increase in incisional pain B. Fever and chills C. Reddened wound edges A nurse educator is reviewing the wound healing process with a group of nurses. The nurse educator should include in the information which of the following alterations for wound healing by secondary intention? (select all that apply) A. Stage III pressure ulcer B. Sutured surgical incision C. Casted bone fracture D. Laceration sealed with adhesive E. Open burn area A. Stage III pressure ulcer E. Open burn area A client who had abdominal surgery 24 hr ago suddenly reports a pulling sensation and pain in his surgical incision. The nurse checks the surgical wound and finds it separated with viscera protruding. Which of the following actions should the nurse take? (select all that apply) A. Cover the