The nurse is assigned to care for a patient with a history of thromboembolism but in whom conventional anticoagulant therapy is contraindicated due a recent spinal injury. The nurse adds which preventative measure to the patient’s plan of care to prevent thromboembolism?

The nurse is supervising the student nurse in the irrigation of the patient’s right eye. Which action by the student nurse prompts the nurse to intervene with additional education?

The patient states, “I’m so embarrassed. I won’t feel like I have to pee for hours, then all of a sudden it hits me. I often can’t make it to the bathroom in time.” The nurse uses which term to document this patient’s report?