A nurse is caring for a client in the hospital and notes these nodes on the client’s joints (see image). Based on this finding, which diagnosis would the nurse expect to find in the client’s medical history?
When assessing the client’s abdomen, what is the first thing the nurse will do?
A nurse is treating a client in the emergency department who was severely injured after a fall. The nurse begins the primary survey to assess for airway, breathing, and circulation. The client is crying and complaining of pain. Based on this information, what step must the nurse perform next to manage the client’s airway?
A nurse is preparing to perform a physical assessment on a client. One of the pieces of equipment the nurse gathers is a sterile safety pin. Which best describes how the nurse would use this piece of equipment?
A client is brought to the emergency department after being involved in a motor vehicle collision. The client was the restrained passenger and is conscious and alert. Vitals are as follows: HR 115, BP 100/60, RR 26. The client has a visible seat belt sign across the lower abdomen and is complaining of pain in the left shoulder. The primary nurse suspects the client might have an injury to which of the following?
A client with a history of malnutrition has skin breakdown in several areas of the body with bony prominences. The nurse first determines the client’s age in the initial assessment. Which best describes the rationale for this measure?
The nurse is performing an assessment of a client’s abdomen. Upon palpation, the nurse feels an abnormal lump in the left upper quadrant that is extremely painful for the client. The nurse is likely palpating which of the following?
A client is brought in to the emergency department with multiple stab wounds and is at risk for hemorrhagic shock. The nurse knows that it is best to check blood circulation through which of the following pulse assessments?
A nurse is performing a cardinal gaze eye assessment. The nurse knows that this tests which of the following cranial nerves? Select all that apply.
A nurse is performing an intake assessment on a client who has been transferred from the long-term care facility to the hospital. The nurse knows that the client has a history of skin breakdown and performs a skin check as part of the initial assessment. Which best describes the rationale for including this type of assessment during the admission process?
