Which assessment finding supports the client statement, “My feet swell all the time?”

In assessing tactile fremitus in the client with suspected pneumonia, the nurse should perform which action?

A nurse is caring for a 45-year-old male client in the emergency department who sustained a fall from a ladder. The client has a closed and displaced fracture of the right ulna and radius. The nurse is monitoring the client closely for any changes in condition.

A nurse is caring for a 45-year-old male client in the emergency department with a closed and displaced fracture of the right ulna and radius. Based on the exhibits provided, what is the priority nursing action at this time?

A client reports experiencing stomach pain and it is localized in the middle section of the abdomen below the xiphoid process.

The nurse should describe the pain as occurring in which region of the abdomen?

A nurse is caring for a 57-year-old female client in the emergency department who presents with joint pain and stiffness in her hands. The client has a history of hypertension and type 2 diabetes.

A nurse is analyzing the assessment findings. Which findings are indicative of rheumatoid arthritis? Select all that apply.

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?

The nurse examines a client’s right great toe.

The joint is red, edematous, and very painful with limited range of motion. The client’s serum uric acid levels are elevated.

Which action should the nurse tell the client to make?

A nurse is caring for a 65-year-old male client in the clinic who presents with shortness of breath and a productive cough. The client has a history of smoking and was recently treated with antibiotics for pneumonia.

Which of the following actions should the nurse take first?

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?

The nurse is performing an initial assessment of a client who has an expressionless facial affect, slurred speech, and red conjunctivae.

Which querry should the nurse ask first?

While percussing the borders of the heart, the nurse picks up an area of dullness beginning at the 5th left intercostal space and moving upward to the 2nd left intercostal space at the sternal border.

What do these findings indicate?