When performing a neurologic assessment on an alert client, the nurse observes that the client’s pupils are both round, 3 mm in size, and respond briskly to light.

Which notation should the nurse use when documenting the assessment?

When performing a neurologic assessment on an alert client, the nurse observes that the client’s pupils are both round, 3 mm in size, and respond briskly to light.

Which notation should the nurse use when documenting the assessment?

The nurse assesses a client who comes to the clinic with neck stiffness and discomfort. Which finding of the cervical spine should the nurse inquire further about lifestyle habits?

A client who is admitted for an acute stroke reports the onset of a burning sensation in the hands and legs.

Which action should the nurse implement to identify additional findings that are consistent with the client’s paresthesia?

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

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.

In assessing a client’s neck, the nurse hears a blowing swish when auscultating the area over the left carotid artery, but hears no sound over the right carotid artery.

How should the nurse document this finding?

An adult male client informs the nurse that he came to the clinic to see if, “Maybe I have lung cancer or something,” and wants to get checked out since, “I can’t seem to get rid of this body-wracking dry cough that has been hanging around for the last six weeks.”. Which computer documentation of this client’s concerns should the nurse enter?

While completing a health assessment for a client being admitted with bilateral pneumonia, the nurse asks the client to describe the sputum.

Which communication technique should the nurse use to obtain this information?

The nurse performs a two-point discrimination test by applying two sterile needles lightly to the fingertips and moving the needle tips in ever-closing distances.

A middle-aged adult client senses two points at a distance of 3 mm on the fingertips and 10 mm on the palms of the hands.

Which interpretation of this finding is accurate?

While assessing the legs of an adult client, the nurse observes leathery-looking skin. The client reports aching, tired legs that swell if standing for long periods of time.

To screen for venous insufficiency, the nurse should ask the client if they have experienced which subjective finding?