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When the nurse places a pen in the client’s left hand withou…

When the nurse places a pen in the client’s left hand without the client seeing it, the client cannot identify the object. His tactile receptors respond to touch, and nerve impulses travel to the brain, but he states, “I feel something, but I don’t know what it is.” Which component of sensory experience is most impaired?

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A nurse teaches nursing students about sensory function. Whi…

A nurse teaches nursing students about sensory function. Which statements correctly describe reception, perception, and reaction? Select all that apply.

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Which actions demonstrate appropriate use of clinical judgme…

Which actions demonstrate appropriate use of clinical judgment when identifying nursing diagnoses for clients with sensory alterations? Select all that apply.

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A nurse is performing a focused physical assessment on a 68-…

A nurse is performing a focused physical assessment on a 68-year-old male client with complaints of urinary frequency and nocturia. During percussion of the suprapubic area, the nurse notes dullness. What is the most appropriate next step in the assessment?

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A surgical client will likely need blood products. Which tra…

A surgical client will likely need blood products. Which transfusion methods reduce exposure to donor blood? Select all that apply.

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A wound care educator teaches staff about differences betwee…

A wound care educator teaches staff about differences between acute and chronic wound management. Which statements accurately reflect evidence-based distinctions? Select all that apply.

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A nurse applies clinical judgment when assessing an older ad…

A nurse applies clinical judgment when assessing an older adult client with cognitive impairment who cannot verbally describe pain. Which assessment approaches are appropriate? Select all that apply.

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A nurse educator teaches staff about pressure injury formati…

A nurse educator teaches staff about pressure injury formation mechanisms. Which statements accurately describe risk factors and their pathophysiological effects? Select all that apply.

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A client with chronic pancreatitis is experiencing malabsorp…

A client with chronic pancreatitis is experiencing malabsorption. Which gastrointestinal function is most likely impaired in this client?

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A home health nurse returns to evaluate a client with visual…

A home health nurse returns to evaluate a client with visual impairment who previously reported fear of falling. The nurse observes removed throw rugs and improved lighting. The client states, “I haven’t fallen since your last visit. Getting rid of those rugs and changing the light bulbs has made a huge difference for me.” Which evaluation action demonstrates best clinical judgment?

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