The nurse is performing an abdominal assessment for a client. What step(s) should the nurse take during the assessment? (Select all that apply)

The RN is conducting a nursing health history for the neurological system. The nurse learns the client has a history of seizures. Which recommendation is most appropriate for the nurse to make to this client?

The nurse’s morning lung assessment of the client reveals crackles in the mid to lower lungs and respiratory rate of 32. The nurse notices that the client is restless, and the skin has an ashen appearance. Which nursing action is the priority intervention?

A client has a new onset of facial drooping and slurred speech. What is the nurse’s priority action?

A client is admitted with a compound fracture of the right arm. The client is right-handed and finds using her left hand very difficult. During the assessment interview, which statement by the RN demonstrates utilization of effective therapeutic communication techniques?

A 40-year-old client is seen in the clinic reporting nausea, vomiting, diarrhea, and lethargy for the past 2 days. The nurse performs a focused assessment, which reveals dry, ruddy, warm skin with tenting, and dark concentrated urine. The client’s vital signs are: temperature, 101.5°F (38.6°C); blood pressure, 92/58 mm Hg; heart rate, 105 beats/min; respiratory rate, 18 breaths/min; oxygen saturation, 96% on room air. The client is at highest risk for [BLANK-1] As evidenced by [BLANK-2], [BLANK-3], and [BLANK-4]

A client has been admitted to the medical/surgical unit with complaints of abdominal pain. Which should the RN identify as possible causes of abdominal distention? (Select all that apply)

A nurse is clustering data after performing a comprehensive assessment on an older adult client. The nurse notes the following findings: bilateral joint pain and stiffness that is worse in the morning and after sitting for long periods of time. Pain and stiffness improve with movement. What is the best action of the nurse?

The nurse assesses a 95-year-old client who has an abnormality of the spine causing excessive curvature of the upper back, also known as hunchback. The client complains of pain and stiffness. The nurse knows that this deformity of the spinal column is known as

An older client is admitted with complaints of nocturia. What question would the nurse ask the client to validate the client’s complaint?