During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:

The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women.
Which of these actions is the best way to prevent or delay bone loss in this group?

When assessing muscle strength, the nurse observes that a patient has complete range of motion against gravity with full resistance. What grade of muscle strength should the nurse record using a 0- to 5-point scale?

The nurse should use which test to check for large amounts of fluid around the patella?

A nurse is interviewing a male client who has a hearing impairment. What techniques would be most beneficial in communicating with this client?

A nurse assesses four clients. Which client assessment will require the nurse to perform an immediate focused assessment?

A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance. Which area of the brain that is related to these findings would concern the nurse?

Which of the following would be considered an expected finding when assessing accommodation in an adult client?

A nurse is assessing a client's cardiovascular system. To palpate for unexpected pulsations in the pulmonic area, at which anatomical location should the nurse place her fingers?

Renee is a 43-year-old female who presents to her gynecology office to follow up on a breast lump she discovered while performing a self-exam two days ago. Renee explains she has a family history of breast cancer. Her mother was diagnosed with stage Ill breast cancer at 40 years and passed away 5 years later. Renee's sister tested BRACA and elected to undergo a prophylactic double mastectomy Renee underwent BRACA testing and was found to be but she elected not to undergo the surgery. Considering the strong family history, Renee presents annually for mammograms and performs self-breast exams once a month. Two days ago, while performing her monthly exam in the shower. Renee felt a firm, non-tender lump in the right breast located to the right of the nipple. She immediately called to schedule an appointment for consultation.

Renee denies any associated symptoms including fatigue, changes to the skin of the breast pain, discharge from the nipples, or sore lymph nodes She describes herself as healthy and has no.
The nurse prepares to perform a breast exam on Renee to evaluate the palpable mass. When documenting pertinent objective findings related to the breast mass characteristics, the nurse includes information on (Select all that apply)

A nurse is interviewing a client in order to obtain a comprehensive health history. The purpose of a review of systems in the health history is to