interventions should the nurse take to prevent skin breakdown? a. Apply powder to the client perineal area b. Restrict client's fluid intake c. Request a prescriptions for an indwelling urinary catheter d. Apply a moisture barrier ointment after perineal hygiene {Ans: d}A nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following information should be included in the teaching? (select all that apply) a. Store the artificial eye in the label container filled with 0.9% sodium chloride irrigation b. Remove from the artificial eye by retracting the upper eyelid c. Apply pressure just below artificial eye to break the suction d. Clear the artificial eye with hydrogen peroxide before storing d. Retract the upper and lower lids to reinsert the artificial eye {Ans: c, d, e}A nurse is assessing a client who received morphine for severe pain 30 mins ago. Which of the following finding is the nurse's priority? a. Last bowel movement was 3 days ago b. Reports pain of 8 on a scale of 0 to 10 c. Distended bladder d. Respiratory rate 7/min {Ans: d}An adult client tells a nurse about recent lack of sleep