Nr 224: Exam 1 Review Questions Well Answered Already Passed

A wound has visible fat with partial thickness tissue loss. What stage is this wound? {Ans: Stage III}The nurse notes that an older client's current apical pulse is 82 beats per minute, strong but irregular. The nurse notes that prior baseline data indicated that the client's apical pulse ranged from 60 to 90 beats per minute and was strong and regular. On further assessment, the client reports "feeling tired lately." Based on this data, what intervention should the nurse implement? {Ans: Call the client's healthcare provider}The nurse is bathing a client and needs an additional towel. Which action is most appropriate for the nurse to implement in order to effectively care for the client while minimizing the risk of infection? {Ans: Wash her hands before leaving the clients room to obtain the towel}A client has implemented dietary and other lifestyle changes to manage hypertension. The nurse determines that the client has been most successful when the client has which follow-up blood pressure reading? {Ans: 125/85}A client diagnosed with active tuberculosis (TB) is to be admitted to a medical-surgical unit. Which action should the nurse take when planning a bed assignment? {Ans: Place the client in