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A nurse is completing a respiratory assessment of a young adult client. Which of the following assessment findings is abnormal?

A client with a tracheostomy placed two days ago coughs and dislodges their tracheostomy tube.  When the nurse comes in the room the client hands them their tracheostomy tube.  What is the nurses priority?

When performing an abdominal assessment, the nurse finds that the client’s abdomen is distended and firm. Bowel sounds are hyperactive in both upper quadrants, but hypoactive in both lower quadrants.  Which of the following questions/statements would not provide additional assessment information? 

During a musculoskeletal assessment, the nurse finds that the client can perform full ROM in both lower extremities with gravity.  The nurse documents the client’s muscle strength in the lower extremities bilaterally as: 

When assessing an elderly man’s ears, an unexpected finding would be which of the following?

Identify a priority for conducting a musculoskeletal assessment. 

The nurse is about to instill antibiotic ear drops into the ear canal of a 6-year-old with an ear infection. What is the most effective way to administer this medication?  

It is a priority that the nurse instructs the client to follow-up with their health care provider when finding which of the following lesions during an integument assessment?

The most common way of providing fulfillment for a bird is

1.       The ideal perch diameter would allow the bird’s foot to wrap around _____ of the diameter.