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A nursing home patient has been diagnosed with chronic venous stasis. Which of the following might the nurse note upon inspection? Choose all that apply?

The nurse is assessing the vital signs of an 6 month-old infant at the clinic for immunizations. The apical pulse is 122 BPM, the respiratory rate is 30, the temperature is 98.8 Fahrenheit using a temporal artery thermometer. The nurse interprets these VS results as?

Which specific instruction would the nurse include in patient teaching regarding the treatment of epistaxis?

When performing a physical assessment on any patient, any place, and at any time- the technique the nurse would “always use first” when approaching the bedside?

A nurse is testing a patient for muscle strength during the hospitalized head-to-toe exam. Which tests should be completed? Choose all that apply?

A person arrives to the Emergency room after a long exposure to very cold weather. The patient states that their ears are numb on the outside. The auricle skin looks reddish/blue with some small vesicles upon inspection. The nurse suspects?

The nurse is utilizing the Lawton IADL tool to assess independent living skills for an 85-year-old patient who will be discharged from the hospital in the next few days. Which of the following activities are considered “instrumental” activities of daily living according to the Lawton tool? Choose all that apply?

The nurse is performing a Katz Activity of Daily Life functional assessment on an 82-year-old patient who recently had a right sided stroke. Which of these questions would be most important to ask?

While doing the otoscopic exam of a 18-month-old boy who has been rubbing his left ear, the nurse finds that his left tympanic membrane is bright red and the light reflex is not visible. The most likely cause of this is:

Be alert to symptoms that may constitute an eye emergency. Which symptom should be referred to a doctor immediately?