The client's dexterity, coordination and ability to see a color change

The client's motivation to test street drugs for the presence of fentanyl

The level of noise in the learning environment

The client's learning style and preferred mode of interaction with the nurse

Care plan

Subjective, objective, assessment and plan (SOAP) charting

Flow sheet

Critical pathway

Parallel play

Tactile play

Locomotive play

Associative play

"I will maintain good oral hygiene by flossing regularly"

"I will be sure to use an electric razor when I shave my legs"

"I will use rectal suppositories to prevent straining on my bowel"

"I can expect the volume of my menstrual bleeding to increase while taking this medication"

The client states, "No English."

Family at bedside used for translation

Patients language preference was determined and interpreter services were contacted at 1000 to translate during rounds. The translator stated, “The client states they have no pain at this time and rates their pain 0 on a 10-point scale"

The client apparently does not understand English; therefore, a translator was used to help translate

Diabetic retinopathy damages the blood vessels on the retina, causing glaucoma

Diabetic neuropathy causes buildup of proteins on the eye lens, causing glaucoma

The nurse should assess for irrigant output and signs of retention

The nurse should monitor for decreased client temperature

The nurse should keep the tubing clamped at all times

Side-lying on affected side, with knees, tucked into chest

Sitting upright, leaning forward, with head and arms supported on the side table

Side lying on unaffected side, with knees tucked into chest and neck extended