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The nurse knows that determining whether a person is oriente…

The nurse knows that determining whether a person is oriented to his or her surroundings will test the functioning of:

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The physician comments that a patient has an abdominal borbo…

The physician comments that a patient has an abdominal borborygmi. The nurse knows that this term refers to:

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The nurse knows that during an abdominal assessment, deep pa…

The nurse knows that during an abdominal assessment, deep palpation is used to determine:

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A 25-year-old woman in her fifth month of pregnancy has a bl…

A 25-year-old woman in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous examination, the nurse notes that her blood pressure in her second month was 124/80 mmHg. In evaluating this change, what does the nurse know to be true?

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A 22-year-old man comes to the clinic for an examination aft…

A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on his left side on the handle bars. The nurse suspects that he may have injured his spleen. Which of these statements is TRUE regarding assessment of the spleen in this situation?

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A patient has been admitted with a chronic arterial symptoms…

A patient has been admitted with a chronic arterial symptoms. During the assessment, the nurse should expect which findings? Select all that apply.

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When assessing whispered pectoriloquy, the nurse would instr…

When assessing whispered pectoriloquy, the nurse would instruct the client to do which of the following?

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The nurse is doing an assessment on a 29-year-old woman who…

The nurse is doing an assessment on a 29-year-old woman who visits the clinic complaining of “always dropping things and falling down”. While testing rapid alternating movements, the nurse notices that the woman is unable to pat both her knees. Her response is very slow and misses frequently. What should the nurse suspects?

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The nurse is watching a new graduate nurse perform auscultat…

The nurse is watching a new graduate nurse perform auscultation of a patient’s abdomen. Which statement by the new graduate nurse shows a correct understanding of the reason why auscultation precedes percussion and palpation of the abdomen?

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To palpate the temporo-mandibular joint, the nurse’s fingers…

To palpate the temporo-mandibular joint, the nurse’s fingers should be placed in the depression at the ______________ of the ear.

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