A nurse is going to complete a comprehensive assessment on a client. When collecting objective data, which of the following would the nurse do first?
A) Assess the client's vital signs
B) Take body measurements
C) Assess mental status
D) Observe the overall appearance
D
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The nurse instructs a client on how to correctly use an inhaler with a spacer. In which order should these steps occur?
1. "Press down firmly on the canister to release one dose of medication." 2. "Breathe in slowly and deeply." 3. "Shake the whole unit vigorously three or four times." 4. "Insert the mouthpiece of the inhaler into the nonmouthpiece end of the spacer." 5. "Place the mouthpiece into your mouth, over the tongue, and seal your lips tightly around the mouthpiece." 6. "Remove the mouthpiece from your mouth, keep your lips closed, and hold your breath for at least 10 seconds." a. 2, 3, 4, 5, 6, 1 b. 3, 4, 5, 1, 6, 2 c. 4, 3, 5, 1, 2, 6 d. 5, 3, 6, 1, 2, 4
A nurse notices that a patient has an irregular pulse. The nurse should do which of the following?
a. Count the number of "lub-dubs" occurring in 30 seconds. b. Assess how often the dysrhythmia is oc-curring. c. Assess the radial pulse for a pulse deficit. d. Chart the abnormally low heart rate as ta-chycardia.
A client is in a driving accident creating a spinal cord injury. The nurse caring for a client realizes that the client is at risk for which type of shock?
A) Anaphylactic B) Neurogenic C) Septic D) Obstructive
The nurse has palpated an abnormal mass within the client's scrotum. Which of the following assessment activities is appropriate for the nurse to perform next?
1. The nurse should percuss the client's scrotum. 2. The nurse should attempt to transilluminate behind the area in which the abnormal mass was palpated. 3. The nurse should inspect the inguinal area. 4. The nurse should gently squeeze the mass between the fingers.