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A client is diagnosed with acute otitis media. Which finding…

A client is diagnosed with acute otitis media. Which finding should the nurse expect to document as part of the physical assessment?

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During an assessment, the nurse observes that the client’s n…

During an assessment, the nurse observes that the client’s nails, lips, and oral mucosa appear blue-tinged. What is the appropriate assessment finding for the nurse to document?

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A nurse is teaching a group of student nurses about pressure…

A nurse is teaching a group of student nurses about pressure ulcers and the degree of tissue damage associated with each stage. Which of the following best describes the tissue involvement in a Stage III pressure ulcer?

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A nurse is performing an ear assessment on an adult client….

A nurse is performing an ear assessment on an adult client. Which statement, if made by the nurse, demonstrates a correct understanding of the purpose of cerumen?

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What is one possible outcome of a critical error?

What is one possible outcome of a critical error?

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During a physical assessment, the nurse is evaluating a clie…

During a physical assessment, the nurse is evaluating a client for edema. Which of the following techniques should the nurse use to assess for edema?

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During a skin assessment the nurse notices that a client has…

During a skin assessment the nurse notices that a client has skin that is yellowish-brown in color. The nurse also notes that the sclera is yellowish. What finding does the nurse conclude?

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A client presents with dry mucous membranes, dry tongue, and…

A client presents with dry mucous membranes, dry tongue, and increased thirst. What action should the nurse take next?

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The nurse explains to a client that accommodation plays an i…

The nurse explains to a client that accommodation plays an important role in sight. Which response by the client indicates an understanding of the teaching?

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The nurse is performing a head, eyes, ears, and neck assessm…

The nurse is performing a head, eyes, ears, and neck assessment on a client. For which of the following findings should the nurse recognize as an emergency and contact the provider immediately?

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