A patient is admitted to hospital with a wound on her sacrum. The nurse notes the wound bed is beefy red with areas of shiny white tissue. The center of the wound is covered in black, hardened tissue with yellow, foul-smelling soft tissue surrounding it. Which of the following terms is the most appropriate for the nurse to use when documenting this finding?

The patient was admitted to the critical care unit following a fall from a balcony. Emergency responders were unable to adequately ventilate the patient until arrival at the emergency department. The patient has been unresponsive since the fall and is now receiving mechanical ventilation and continuous intracranial pressure monitoring. The nurse assesses for signs of which complications in this patient? Select all that apply.

The 32-year-old patient presents to the emergency department complaining of difficulty breathing, cough, and chills. Vital signs are notable for a temperature of 38.4°C, heart rate 118 bpm, respiratory rate 24, oxygen saturation 87% on room air, and blood pressure of 98/62 mmHg. Upon assessment, the nurse notes nasal flaring, diminished breath sounds in the right upper lobe, and subcostal retractions. Capillary refill time is 4 seconds. The patient admits waking up in a pool of vomit after binge drinking 3 nights ago. Which orders does the nurse anticipate? Select all that apply.