Standards of the Joint Commission state that pain is the fifth vital sign and should be documented by assessments of: (Select all that apply.)

To correctly determine the strength of a patient's lower extremities during a neurological examination, the nurse asks the patient to:

The nurse tells a patient that he will be performing a visual acuity test using the Snellen eye chart. The patient asks how the test is done. The nurse's best reply is:

When performing an initial assessment on a patient, which piece of information is of highest priority?

The nurse notes that a patient has an exaggerated lumbar curve. This is indicative of

Because the older adult's blood vessels are nonelastic, they are prone to orthostatic hypotension. A priority intervention for a patient with orthostatic hypotension is to:

The nurse taking a blood pressure should:

An older adult American Indian patient has been admitted to the hospital with abdominal pain. Along with performing a physical assessment, the nurse should also perform a:

A 52-year-old patient presents with malaise, fatigue, chest congestion, and a chronic cough. While collecting assessment data, an important question to ask is

The home health nurse is instructing a caregiver about caring for a patient with hypothermia. The nurse recognizes that further instruction when the caregiver states, "I will

Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a: