ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
LATEST UPDATE 2026/2027
When the home health nurse A. There is warmth and redness to the
visits a 90-year-old client client's left leg.
after repair of a hip fracture, D. Left leg appears larger than the right.
the client states, "The back of
my left leg sure does hurt.
Can you rub it a bit for
me?"
Upon assessment of the
client's lower extremities,
the nurse places a call to
the health care provider.
What assessment findings
prompted the call? Select
,all that apply.
The catheter-associated C. The client with generalized weakness
urinary tract infection who is incontinent of bowel and bladder.
(CAUTI) rate is up in the
hospital and the quality
committee is meeting to
devise a plan aimed at
decreasing the rate.
Nurses are assessing all
clients in the hospital with
urinary drainage catheters
to determine which
catheters can be
discontinued.
Which client should have the
catheter removed?
A client is in the observation A. Monitor intake and output - Yes, this is
unit of the emergency critical for assessing fluid balance in a
department with potentially dehydrated client.
, lightheadedness upon C. Intravenous fluid replacement - Yes,
standing, dry mouth, and a this is essential to correct hypovolemia,
headache. The client electrolyte imbalances, and prevent
reports running a marathon further complications.
two days ago and has been D. Bedrest - Yes, indicated due to
feeling unwell since then. hypotension and risk of falls or further
Blood pressure is 92/60, complications.
temperature 101.1 °F (38.3
°C), respiratory rate 22, heart
rate 112, and oxygen
saturation 94%. Serum
laboratory tests reveal
hyponatremia and
hyperkalemia. The client is
asked to give a urine
sample for urinalysis and
is only able to urinate 30
mL of very dark urine.
What does the nurse
anticipate will be in the