A nurse is preparing to perform a complete physical assessment on a healthy 2-month-old infant. Which nursing actions are appropriate? Select all that apply.

A nurse is assessing four clients. Which set of vital signs should the nurse report first?

Match each nursing assessment technique with the primitive reflex being evaluated. Each option may be used once, more than once, or not at all.

A nurse assesses hydration in an 82-year-old client. Which assessment finding is the most reliable indicator of dehydration?

A client at 34 weeks’ gestation has a fundal height measuring 28 cm. Which nursing action is most appropriate?

A nurse is preparing to perform a complete physical assessment on a calm 3-month-old infant. Which nursing action is most appropriate to obtain the most accurate assessment findings?

A nurse assesses a 2-month-old infant whose anterior fontanel is tense and bulging while the infant is calm and quiet. Which nursing action is the priority?

A client recovering from abdominal surgery reports severe pain in the right shoulder despite a clean surgical incision. Which nursing interpretation is most appropriate?

A nurse is assessing the cervical lymph nodes of a 48-year-old client who reports unintentional weight loss and persistent fatigue. Which assessment finding should the nurse report to the provider first?

A nurse suspects child neglect after observing severe malnutrition, poor hygiene, and untreated skin infections. Which nursing action is most appropriate?