The nurse is performing an assessment of the client's peripheral vascular system. Which actions by the nurse are appropriate when assessing this client?
1. Assessing the client in a flat, supine position when the client exhibits a respiratory rate of 26 breaths/min. with a dusky appearance around the mouth and lips.
2. Requesting the client remove all undergarments prior to putting the gown.
3. Assessing pedal pulses over the client's socks.
4. Taking a blood pressure cuff, Doppler, and stethoscope into the client's room for the assessment.
Correct Answer: 4
A blood pressure cuff, Doppler, and stethoscope are appropriated pieces of equipment for the nurse to bring into the room for the assessment of this client. The student nurse must pay attention to how well the client tolerates the various positions during the assessment. The client needs to remove only socks and shoes prior to putting on the gown. The socks must be removed to accurately assess the peripheral vascular system.
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The student nurse notices that a newborn weighs less today compared with the newborn's birth weight three days ago. The nursing instructor explains that newborns lose weight following birth due to which of the following?
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A psychiatric nurse performs an admission assessment for a newly admitted client. The nurse understands that gathering assessment information is considered:
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Bandura suggested that children acquire new behaviors from observational learning in which:
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