100%)
A nurse has just received report on a newly admitted clement who reports abdominal tenderness in the lower
right quadrant. What is the first step the nurse should perform during the abdominal assessment? -
ansInspection
A nurse has just received report on a newly admitted client who speaks a different language than the nurse.
Which of the following actions should the nurse take to assist with the effectiveness with the client during the
initial assessment process? - ansRequest assistance from an interpreter during the assessment
A nurse has performed pre-operative care on a client and is transferring the client to the surgical holding area
when the client states, "I have changed my mind; I do not want to have this surgery." Which ethical principal is
the client using? - ansAutonomy
A nurse in the emergency department has received report on a child who has a laceration to the right calf.
Which step of the nursing process should the nurse perform first? - ansAssessment
A nurse is assisting a client with ambulating around the nurses' station. Which step of the nursing process is the
nurse performing? - ansImplementation
A nurse is caring for a client who is crying and appears upset after receiving news that they will need to have a
surgical procedure. Which action should the nurse take to display empathy towards the client? - ansPut
themselves in the client's situation to understand the client's anxiety.
A nurse is completing documentation in a client's medical record. Which action should the nurse take? -
ansRecord the client's most recent assessment results
A nurse is performing a physical assessment of a client who has reported abdominal tenderness. Which action
should the nurse take? - ansPalpate the tender areas of the abdomen last
The cleint relorted abdominal tenderness. So rhe nurse should palpate tender areas last because tense muscles
make the assessment mkre difficult for the client