A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the
following...?
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Secure the restraints using a quick-release tie.
A nurse is completing a physical assessment of a client who has early osteoarthritis.
Which of the following manifestations should the nurse expect?
A. Symmetric joints affected
B. Pain worsens with activity
C. Weight loss
D. Ulnar deviation
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, B. Pain worsens with activity
A nurse is instructing a group of nursing students in measuring a client's respiratory
rate. Which of the following guidelines should the nurse include? (Select all that
apply.)
A.Place the client in semi‑Fowler's position.
B.Have the client rest an arm across the abdomen.
C.Observe one full respiratory cycle before counting the rate.
D.Count the rate for 30 sec if it is irregular.
E.Count and report any sighs the client demonstrates.
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A,B,C
A. Having the client sit upright facilitates full ventilation and gives the
students a clear view of chest and abdominal movements.
B. With the client's arm across the abdomen or lower chest, it is easier for
the students to see respiratory movements.
C. Observing for one full respiratory cycle before starting to count assists
the students in obtaining an accurate count.
A nurse is caring for a client who reports pain with internal rotation of her right
shoulder. the nurse should identify that this discomfort can affect the client's ability to
perform which of the following activities?
A.Mopping her floors
B.Brushing the back of her hair
C.Fastening her bra behind her back
D. reaching into a cabinet above her sink
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, C.
C. The client who is fastening a bra from behind requires internal rotation of
the shoulder, so this activity will elicit pain.
A nurse in a family practice clinic is performing a physical examination of an adult
client. Which part of her hands should she use during palpation for optimal
assessment of skin temperature?
A.Palmar surface
B.Fingertips
C.Dorsal surface
D.Base of the fingers
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C
C. The dorsal surface of the hand is the most sensitive to temperature.
A nurse is providing teaching to an AP about caring for clients with restraints. Which
of the following statements indicates an understanding of the teaching?
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I will tie a restraint to the portion of the bed that moves when the head..
A nurse is preparing a presentation at a community center about osteoarthritis. The
nurse should plan to include which of the following information?
, A. Affects weight-bearing joints
B. Crepitus can occur in affected joints
C. Affects bilateral, symmetrical joints
D. Causes joint stiffness
E. Causes joint pain
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A. Affects weight-bearing joints
B. Crepitus can occur in affected joints
D. Causes joint stiffness
E. Causes joint pain
Which sequence best identifies the order in which the nurse should complete an
abdominal assessment?
a. Inspection, palpation, percussion, auscultation
b. Auscultation, inspection, palpation, percussion
c. Auscultation, palpation, percussion, inspection
d. Inspection, auscultation, percussion, palpation
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d. Inspection, auscultation, percussion, palpation
A nurse is assessing a clients cranial nerves as part of neurological examination. Which
of the following actions should the nurse take for cranial nerve III?
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following...?
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Secure the restraints using a quick-release tie.
A nurse is completing a physical assessment of a client who has early osteoarthritis.
Which of the following manifestations should the nurse expect?
A. Symmetric joints affected
B. Pain worsens with activity
C. Weight loss
D. Ulnar deviation
Give this one a try later!
, B. Pain worsens with activity
A nurse is instructing a group of nursing students in measuring a client's respiratory
rate. Which of the following guidelines should the nurse include? (Select all that
apply.)
A.Place the client in semi‑Fowler's position.
B.Have the client rest an arm across the abdomen.
C.Observe one full respiratory cycle before counting the rate.
D.Count the rate for 30 sec if it is irregular.
E.Count and report any sighs the client demonstrates.
Give this one a try later!
A,B,C
A. Having the client sit upright facilitates full ventilation and gives the
students a clear view of chest and abdominal movements.
B. With the client's arm across the abdomen or lower chest, it is easier for
the students to see respiratory movements.
C. Observing for one full respiratory cycle before starting to count assists
the students in obtaining an accurate count.
A nurse is caring for a client who reports pain with internal rotation of her right
shoulder. the nurse should identify that this discomfort can affect the client's ability to
perform which of the following activities?
A.Mopping her floors
B.Brushing the back of her hair
C.Fastening her bra behind her back
D. reaching into a cabinet above her sink
Give this one a try later!
, C.
C. The client who is fastening a bra from behind requires internal rotation of
the shoulder, so this activity will elicit pain.
A nurse in a family practice clinic is performing a physical examination of an adult
client. Which part of her hands should she use during palpation for optimal
assessment of skin temperature?
A.Palmar surface
B.Fingertips
C.Dorsal surface
D.Base of the fingers
Give this one a try later!
C
C. The dorsal surface of the hand is the most sensitive to temperature.
A nurse is providing teaching to an AP about caring for clients with restraints. Which
of the following statements indicates an understanding of the teaching?
Give this one a try later!
I will tie a restraint to the portion of the bed that moves when the head..
A nurse is preparing a presentation at a community center about osteoarthritis. The
nurse should plan to include which of the following information?
, A. Affects weight-bearing joints
B. Crepitus can occur in affected joints
C. Affects bilateral, symmetrical joints
D. Causes joint stiffness
E. Causes joint pain
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A. Affects weight-bearing joints
B. Crepitus can occur in affected joints
D. Causes joint stiffness
E. Causes joint pain
Which sequence best identifies the order in which the nurse should complete an
abdominal assessment?
a. Inspection, palpation, percussion, auscultation
b. Auscultation, inspection, palpation, percussion
c. Auscultation, palpation, percussion, inspection
d. Inspection, auscultation, percussion, palpation
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d. Inspection, auscultation, percussion, palpation
A nurse is assessing a clients cranial nerves as part of neurological examination. Which
of the following actions should the nurse take for cranial nerve III?
Give this one a try later!
