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The patient has a respiratory rate of 9 breaths/minute. How…

The patient has a respiratory rate of 9 breaths/minute. How should the nurse document their findings?

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When assessing muscle strength, the nurse observes a patient…

When assessing muscle strength, the nurse observes a patient complete a full range of motion movement against full resistance. What grade of muscle strength should the nurse document?

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The nurse is examining a patient’s ears and notices cerumen…

The nurse is examining a patient’s ears and notices cerumen in the external canal. Which of these statements about cerumen is correct?

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The nurse is assessing a 9-year-old girl who asks, “Am I nor…

The nurse is assessing a 9-year-old girl who asks, “Am I normal? I don’t seem to need a bra yet, but I have some friends who do. What if I never get breasts?” Which response by the nurse is best?

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A nursing student performs a focused abdominal assessment on…

A nursing student performs a focused abdominal assessment on her patient in clinical. Which of the following actions performed by the nurse warrants further education?

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The nurse understands that the patient must be able to do ac…

The nurse understands that the patient must be able to do activities of daily living (ADLs) prior to returning home. Which is NOT an example of an ADL?

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The nurse is assessing a patient’s stool. What does a positi…

The nurse is assessing a patient’s stool. What does a positive hemoccult test indicate?

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An 85-year-old patient comments during his annual physical e…

An 85-year-old patient comments during his annual physical examination that he seems to be getting shorter with age. Which of the following statements by the nurse is most accurate about aging?

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The nurse is assessing a patient for constipation. Which of…

The nurse is assessing a patient for constipation. Which of the following criteria is correct for constipation?

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Your athlete has a grade III hamstring strain. You assess th…

Your athlete has a grade III hamstring strain. You assess that he needs 3000 calories, but he is only eating 2200. He eats fast food often, drinks about 50 ounces of water daily, and doesn’t like to eat vegetables. What is the TOP PRIORITY to heal at the optimal rate?

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