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The client is experiencing severe pruritis and small papules and burrows on
areas over one hand and the inner thighs. Which assessment data best
explains the condition the client is experiencing?
A. The client works in a daycare setting that has had a scabies outbreak.
B. The client has been using a chemical stripping agent for home remodeling.
C. The client has a family history of psoriasis in both parents and a sibling.
D. The client routinely works with clay and paint as a hobby.
A. The client works in a daycare setting that has had a scabies outbreak.
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?
A. Level of consciousness
B. Gait characteristics
C. Presence of trauma
D. Bladder control ability.
A. Level of consciousness
,A client reports feeling increasingly fatigued for several months, and the nurse
observes that the client's lips are pale. Which additional data should the nurse
collect based on this presentation?
A. Current alcohol and tobacco use
B. A 24-hour dietary recall
C. Use of vitamin and iron supplements
D. Daily pattern of oral hygiene practices
C. Use of vitamin and iron supplements
The nurse is assessing a client who has experienced a sudden onset of hearing
loss in the right ear. Which finding should alert the nurse to a potentially
serious medical condition that requires further evaluation?
A. The client works in a busy office setting
B. There is no sign of associated infection
C. The client has no prior history of hearing loss
D. The hearing loss involves high frequencies
B. There is no sign of associated infection
The client reports to the nurse a recent exposure to the mumps. Which
assessment finding suggests the client has contracted the mumps?
A. Enlargement centered along the anterior lower neck region
B. Swelling anterior to the ear lobe on one side of the face
C. Generalized rounded shape of the face
D. Paralysis on one side of the face
B. Swelling anterior to the ear lobe on one side of the face
, 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?
A. Swelling of the left arm and non-pitting edema.
B. Bilateral swelling of the arms with weakened pulses.
C. Complaints of pain when taking the blood pressure on the affected side.
D. Metastasis of cancer due to cancer being in the lymph nodes.
A. Swelling of the left arm and non-pitting edema.
What is the best nursing response to an older client who has not mentioned
incontinence during a genitourinary assessment?
A. Ask the client specifically about any leakage of urine.
B. Document that the client reports having no incontinence
C. Have the client cough and then check for urine leakage
D. Determine if the client has ever had urinary tract surgery.
A. Ask the client specifically about any leakage of urine.
A client is in the clinic for a routine health examination. The nurse notices the
client appears underweight. Which question is most important for the nurse to
ask when completing the health history of this client?
A. What types of food do you like or dislike?
B. Have you experienced sudden weight loss?
C. Do you use dietary supplements every day?
D. Can you recall the last 24 hours of food intake?
B. Have you experienced sudden weight loss?