The nurse is assessing a client's range of motion as the client bends the right knee up
to the chest while keeping the left leg straight, but is unable to keep the left thigh on
the table. The assessment is repeated for the left knee, and the client is unable to
keep the right thigh on the table. How should the nurse document this finding?
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a flexion deformity referred to as a positive thomas test
A client has just returned from the recovery room and asks to get out of bed to go to
the bathroom. The nurse decides to obtain orthostatic vital signs first. How will the
nurse position the client to begin this procedure?
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, lying
The client reports to the nurse a recent exposure to the mumps. Which assessment
finding suggests the client has contracted the mumps?
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swelling anterior to the ear lobe on one side of the face
The nurse is performing a thoracic assessment on a client with chronic asthma and
hyperinflation of the lungs. Which finding should be expected for this client?
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barrel chest
Which action should the registered nurse (RN) implement to complete an assessment
for a client while using an interpreter?
Give this one a try later!
maintain eye contact while listening to the translation
Which information should the nurse obtain to identify the client's self-perception of
health status?
, Give this one a try later!
health history
A client comes to the clinic with a report of fever and a recent exposure to someone
who was diagnosed with meningitis. Which nursing assessment should be completed
during the initial examination of this client?
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level of consciousness
A client states that she had a mastectomy of her left breast last year and now
experiences lymphedema. What should the nurse expect to find when examining the
client?
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swelling of the left arm and nonpitting edema
The nurse is performing a routine physical examination on an adult client. When
gathering a health history, which question is included in the CAGE questionnaire?
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have you ever felt guilty about your drinking
to the chest while keeping the left leg straight, but is unable to keep the left thigh on
the table. The assessment is repeated for the left knee, and the client is unable to
keep the right thigh on the table. How should the nurse document this finding?
Give this one a try later!
a flexion deformity referred to as a positive thomas test
A client has just returned from the recovery room and asks to get out of bed to go to
the bathroom. The nurse decides to obtain orthostatic vital signs first. How will the
nurse position the client to begin this procedure?
Give this one a try later!
, lying
The client reports to the nurse a recent exposure to the mumps. Which assessment
finding suggests the client has contracted the mumps?
Give this one a try later!
swelling anterior to the ear lobe on one side of the face
The nurse is performing a thoracic assessment on a client with chronic asthma and
hyperinflation of the lungs. Which finding should be expected for this client?
Give this one a try later!
barrel chest
Which action should the registered nurse (RN) implement to complete an assessment
for a client while using an interpreter?
Give this one a try later!
maintain eye contact while listening to the translation
Which information should the nurse obtain to identify the client's self-perception of
health status?
, Give this one a try later!
health history
A client comes to the clinic with a report of fever and a recent exposure to someone
who was diagnosed with meningitis. Which nursing assessment should be completed
during the initial examination of this client?
Give this one a try later!
level of consciousness
A client states that she had a mastectomy of her left breast last year and now
experiences lymphedema. What should the nurse expect to find when examining the
client?
Give this one a try later!
swelling of the left arm and nonpitting edema
The nurse is performing a routine physical examination on an adult client. When
gathering a health history, which question is included in the CAGE questionnaire?
Give this one a try later!
have you ever felt guilty about your drinking
