An older male client reports to the nurse that his feet are cold.

Before covering the client’s feet, which assessment(s) should the nurse complete? Select all that apply.

The nurse examines a client’s right great toe.

The joint is red, edematous, and very painful with limited range of motion. The client’s serum uric acid levels are elevated.

Which action should the nurse tell the client to make?

The nurse observes the presence of brittle, concave curves to the nails of a client on assessment.

Which information should the nurse obtain from the client that may explain the appearance of the nails?

A nurse is caring for a 45-year-old male client in the emergency department who sustained a fall from a ladder. The client has a closed and displaced fracture of the right ulna and radius. The nurse is monitoring the client closely for any changes in condition.

A nurse is caring for a 45-year-old male client in the emergency department with a closed and displaced fracture of the right ulna and radius. Based on the exhibits provided, what is the priority nursing action at this time?

An older adult male arrives at the healthcare center with lower abdominal discomfort and frequent urination. The nurse asks the client to provide a urine sample.After an extended period of time, the client returns with only a few drops of urine. Which action should the nurse implement?

The nurse observes an older adult client walking aimlessly in the hallway and staring straight ahead with a blank expression.How should the nurse enter documentation of this finding in the client’s electronic medical record (EMR)?

During an admission assessment, which approach should the nurse use to assess a client’s speech patterns?

During an abdominal assessment, a client with a temperature of 103°F (39.4°C) experiences pain and abruptly stops inhaling during deep palpation.

Which prescription is most important for the nurse to implement?

A client reports experiencing stomach pain and it is localized in the middle section of the abdomen below the xiphoid process.

The nurse should describe the pain as occurring in which region of the abdomen?

An adolescent female client comes to the clinic troubled by breast tenderness before her menstrual periods.

On examination, the nurse notes generalized lumpiness of both breasts with no discrete masses and no nipple discharge.

Which action should the nurse take?

While auscultating a client’s abdomen, the nurse hears a low-pitched blowing sound in the upper midline area. Which is the likely indication of this finding?