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Author Archives: Anonymous

The nurse is assessing for chest expansion of an adult patie…

The nurse is assessing for chest expansion of an adult patient. Which of the following techniques should the nurse use to detect asymmetric chest expansion?

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A nurse is auscultating a client’s lung sounds and notes sof…

A nurse is auscultating a client’s lung sounds and notes soft, low-pitched breath sounds over most of the peripheral lung fields. What is the most appropriate action the nurse should take next?

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When evaluating sources using the CRAAP test, the P in the a…

When evaluating sources using the CRAAP test, the P in the acronym stands for:

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An 80-year-old client is scheduled for a routine physical ex…

An 80-year-old client is scheduled for a routine physical exam. During the respiratory assessment, the nurse prepares to inspect and palpate the thoracic cage. Which anatomical landmark should the nurse use as the most reliable starting point for identifying intercostal spaces and lung fields?

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Which position is best for assessing jugular venous pressure…

Which position is best for assessing jugular venous pressure (JVP)?

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Which pain assessment tool is most appropriate for a 3-year-…

Which pain assessment tool is most appropriate for a 3-year-old child?

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Which of the following is considered a subjective indicator…

Which of the following is considered a subjective indicator of pain?

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The nurse is assessing a 39-year-old woman who has a 20-year…

The nurse is assessing a 39-year-old woman who has a 20-year history of cigarette smoking. When reviewing the client’s current medication administration record, what drug would the nurse identify as increasing the woman’s risk of stroke?

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The nurse is assessing the lungs of an older adult client. W…

The nurse is assessing the lungs of an older adult client. Which observation requires immediate follow-up?

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The nurse is palpating the point of maximal impulse (PMI). W…

The nurse is palpating the point of maximal impulse (PMI). Where should it be located in a healthy adult?

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