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?

The nurse is testing the function of CN XI. Which statement best describes the response the nurse should expect if this nerve is intact? The patient.

When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as:

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

The nurse is preparing to perform a functional assessment of an older patient. What is an appropriate approach for the nurse to take?

The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand. He also cries very easily and becomes angry. The nurse recalls that the cerebral lobe responsible for these behaviors is the……..lobe.

During a cardiovascular assessment of an 80-year-old adult, a nurse should consider which of the following as expected findings?

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

A nurse is obtaining a history from a 30-year-old female client. Which of the following questions would you ask to assess health promotion act?