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Which assessment findings should the nurse note in a school-age child with Duchenne’s muscular dystrophy (DMD)? Select all that apply.

A nurse notices advanced clubbing of the patient’s fingertips?  What might this assessment finding indicate?

What data should be included in the documentation from a focused assessment of the respiratory system?

An unresponsive patient is admitted to your unit.  Which is the best route for the nurse to assess the core temperature?

The nurse notes that a client’s temperature has increased from 100.6F to 102F.  What is the most appropriate intervention?

Which assessment would be included in a focused cardiovascular assessment?

The physician orders 0.25 mg digoxin PO daily.  The pharmacy sends 125 mcg tablets.  How many tablets should be administered? (Record answer using nearest half or whole number.)

A nurse is unable to palpate a very weak and thready pulse on the patient’s lower extremities.  What might be the cause of this finding? (Select all that apply.)

The nurse is caring for a patient with congestive heart failure. The nurse assesses crackles throughout the lung fields and a BP of 160/88. What intervention should the nurse perform next?

What is the most appropriate placement of the stethoscope for auscultating the apical pulse?