A nurse in the emergency department is performing a musculoskeletal assessment of a client. The presence of which of the following conditions would cause the nurse to avoid testing range of motion (ROM) of the cervical spine?
A. Headache
B. Neck trauma
C. Sinus infection
D. Muscle spasms
Answer: B. Neck trauma
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During an assessment, the nurse notes leukoplakia when examining the client's mouth. The client is a smoker and explains to the nurse that it has been there for more than a month
After documenting the finding and informing the healthcare provider, what should the nurse anticipate next? A) Antifungal medication will be prescribed. B) A biopsy will be performed. C) An order to provide thorough mouth care D) A dental consult
A mother and her 4-week-old infant have arrived for a health maintenance visit. Which of the following activities will the nurse perform?
A) Assess the child for an upper respiratory infection B) Take a health history for a minor injury C) Administer a varicella injection D) Plot the child's head circumference on a growth chart
A patient with bladder cancer undergoes a total cystectomy and ileal conduit. Postoperatively, the nurse notes mucus in the patient's urine. Which nursing intervention is most appropriate?
A) Informing the physician that the patient has a urinary tract infection B) Obtaining a urine specimen for culture and sensitivity C) Monitoring for other signs and symptoms of infection D) Explaining to the patient that this is normal after this type of surgery
While delivering nursing care, the home healthcare nurse has the ability to see the whole picture and how various parts are related to the client's diagnosis and problems in the home environment
What skills does the nurse possess that allows her to see the connection of various parts of the situation? A) Imaginal skills B) Interpersonal skills C) System skills D) Instrumental skills