When considering legal requirements of medical charting, the nurse understands: Choose all that apply?

A person arrives to the Emergency room after a long exposure to very cold weather. The patient states that their ears are numb on the outside. The auricle skin looks reddish/blue with some small vesicles upon inspection. The nurse suspects?

When considering the legal requirements of electronic medical charting, the nurse understands that?Choose all that apply? 

Which of the following pediatric patients might the nurse play games with during an assessment? This might include having the patient “blow out” the nurse’s penlight. 

An older adult has had surgery the previous day. The nurse is assessing the patient’s current functional abilities the next day. It is important for the nurse to assess the patient’s pain level. True or False?

The nurse is ready to begin a physical exam on an 8-month-old infant. The child is quietly sitting on his mother’s lap chewing on a toy. Which of the following actions should the nurse do first?

When preparing to perform a physical examination on an infant, the examiner should?

An 88-year-old man has been hospitalized after a fall at home and his 86-year-old wife is at the bedside. She tells the nurse that she is his primary caregiver each day. What should the nurse assess for in the patient’s wife as signs of “caregiver role strain”? Choose all that apply?

What are symptoms of hearing loss a nurse may note in an older patient at bedside? Choose all that apply?

A 78-year-old patient tells the nurse he is having trouble hearing high-frequency sounds- particularly in large groups. He cannot always tell where the sound is coming from, words often sound “mixed up”. What might the nurse suspect as the cause for this change?