The nurse is assessing an 81-year-old client’s peripheral vascular function. What principle should guide the nurse’s analysis of assessment data?
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A nurse is teaching a patient about the prevention of sinusi…
A nurse is teaching a patient about the prevention of sinusitis. Which statement by the patient indicates an understanding of sinusitis prevention?
The nurse is assessing a client’s heart and neck vessels. Wh…
The nurse is assessing a client’s heart and neck vessels. Which technique would be most appropriate to use when examining the client’s jugular venous pulse?
A 39-year-old male comes to the clinic for a wellness exam a…
A 39-year-old male comes to the clinic for a wellness exam and asks the nurse, “What exactly does my lymphatic system do for my health?”Which response by the nurse would be most appropriate?
A nurse is assessing the abdomen of a male client. Which fin…
A nurse is assessing the abdomen of a male client. Which finding would most likely lead the nurse to suspect an abnormal condition?
A nurse is preparing to palpate a client’s spleen. Which pos…
A nurse is preparing to palpate a client’s spleen. Which position would the nurse use to facilitate palpation?
A healthy 60-year-old patient reports experiencing dyspnea w…
A healthy 60-year-old patient reports experiencing dyspnea while climbing stairs and during exercise, but does not experience dyspnea after these activities. The nurse recognizes this is likely due to:
A nurse auscultates intermittent soft clicks and gurgles bow…
A nurse auscultates intermittent soft clicks and gurgles bowel sounds at a rate of 5-30 per minute in all four quadrants. How should the nurse interpret this finding?
The nurse is performing light palpation of the client’s abdo…
The nurse is performing light palpation of the client’s abdomen. How can the nurse best prevent voluntary guarding during this phase of assessment?
A 79-year-old Hispanic male with type 2 diabetes and hyperte…
A 79-year-old Hispanic male with type 2 diabetes and hypertension is undergoing a routine lower-extremity vascular assessment.The nurse is unable to palpate the dorsalis pedis pulse on either foot after warming the client’s skin. Capillary refill is less than 2 seconds, and the posterior tibial pulses are palpable bilaterally. Which nursing action is most appropriate next?