The nurse is assessing a client admitted on the medical surgical unit. The patient has no complaints of pain or distress noted. The temp is 98.6°F, pulse of 88, respirations of 18 and blood pressure of 172/88. The patient's electronic health record notes a diagnosis of esotropia that has been present for the past five years. The nurse is providing an external eye exam. What priority finding would the nurse expect from the client?

A nurse in the emergency department assesses a client's pupillary reaction and observes pinpoint pupils. The client seems lethargic but oriented to person and place. There is a significant other at the bedside who notes this is not "normal" for them. The nurse interprets this finding as suggesting which of the following?

A health promotion teaching is focusing on hygiene and the prevention of illness. When instructing clients on how to clean their ears, what action should the nurse recommend?

A 53 year-old client was recently diagnosed with benign prostatic hypertrophy (BPH). He is fearful and states, "My good friend just died from prostate cancer and I am concerned this will happen to me." What would be the most appropriate response by the nurse?

The nurse has completed the assessment of the client's ears. A small/moderate amount of brown cerumen was found in both ears. Which action by the nurse is warranted?

The nurse is assessing a patient in the acute hospital setting that has had a diagnosis of right-sided stroke. The nurse completes a comprehensive neurological assessment including assessing the client for graphesthesia. What are the actions the nurse would take to perform this assessment appropriately?

A client comes to the clinic with complaints of intense itching to their vaginal area. Upon inspection, the nurse notes swollen labia, erythema to the vaginal mucosa with thick, white discharge. What condition might the nurse suspect?

A client presents with a cluster of upper airway complaints that include rhinorrhea. Which area of assessment would yield the most pertinent information to the etiology of rhinorrhea?

The nurse's auscultation of a client's lung fields reveals the presence of a wheeze. The nurse should recognize that this adventitious sound results from what pathophysiologic process in the lungs?

The nurse has placed her hands behind the client's head and flexed his neck forward as far as he can tolerate. During the test the client experiences leg pain and bends his knees. In addition, he complains of neck pain. This assessment finding is suggestive of what health problem?

The nurse is performing a peripheral vascular assessment of an adult client. The nurse is palpating the client's peripheral pulses but knows that some are not palpable, even in healthy clients. What pulse is not palpable in a large proportion of healthy clients?