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Terms in this set (17)
A client states during the interview avoid a position change that requires turning.
that he has pain in his lower back. He
states it is a 10 on a scale of 0 to 10
when he is asked to turn. The nurse
should:
elevate the legs, bending at the knee
while the client is supine.
have the client lay on his right side,
then palpate the area.
have the client turn from side to side
and assess pain.
avoid a position change that requires
turning.
A nurse examining the lungs of a density and location of lungs.
client percusses over the anterior
thorax using the proper sequence.
This technique helps to identify:
normal breath sounds.
density and location of lungs.
masses.
muscle tenderness.
, A gerontologic nurse is inspecting Bulge to the left inguinal area
the genitalia of an older adult male Scant yellow discharge
client. Which assessment findings are
of the most concern? Select all that
apply.
Decreased penis size
Scant amount of pubic hair
Less firmness of the testes
Scant yellow discharge
Bulge to the left inguinal area
A community nurse is participating in "Breast self-examination is no longer a
a health promotion fair and has been recommended screening activity."
asked by a middle-aged woman
about the necessity of breast self-
examination (BSE). How should the
nurse respond to the woman's
inquiry?
A nurse auscultates the right carotid It is distended.(swollen due to pressure from
artery in an older adult client and inside;)
identifies a bruit. What does this
assessment finding mean?
It is distended.
It is dissecting.
It is inflamed.
It is normal.