Nursing Roles in Patient Assessment and Documentation

A nurse is conducting a mental status examination on a client who has been admitted for psychiatric evaluation.

Which question should the nurse ask to assess the client's orientation?

A nurse is assessing a client who has been admitted with suspected sepsis.

Which finding should the nurse report to the provider immediately?

A nurse is preparing to administer an intramuscular injection to a client who has a latex allergy.

Which action should the nurse take to prevent an allergic reaction?

A nurse is documenting the findings of a head-to-toe assessment on a client who has been hospitalized for pneumonia.

Which statement by the nurse reflects the appropriate use of objective data?

A nurse is reviewing the laboratory results of a client who has been diagnosed with diabetes mellitus.

Which value should the nurse recognize as an indicator of poor glycemic control?

A nurse is performing a skin assessment on a client who has a history of melanoma.

Which finding should alert the nurse to a possible malignant lesion?