During the focused interview, the client provides information to the nurse regarding her daughter's recent diagnosis with cancer. The client is exhibiting clinical manifestations associated with anxiety
During the physical assessment, which of the following findings might be expected? Standard Text: Select all that apply. 1. The client complains of pain when the tragus is gently manipulated.
2. The client has several small ulcers on her lip.
3. Pale nasal mucosa
4. Small sores are noted within the mouth.
5. Perforated nasal septum
1,2,4
Rationale 1: The client complains of pain when the tragus is gently manipulated. Pain that occurs with manipulation of the tragus may accompany temporomandibular joint dysfunction that may be associated with jaw clenching. Jaw clenching can accompany psychological stress.
Rationale 2: The client has several small ulcers on her lip. Clients who are under a great deal of stress might bite their lips.
Rationale 3: Pale nasal mucosa. Pale nasal mucosa is associated with cocaine use, infection, hypoxia, and allergies.
Rationale 4: Small sores are noted within the mouth. Clients who are under a great deal of stress might present with ulcers in their mouth.
Rationale 5: Perforated nasal septum. A perforated nasal septum is associated with cocaine use.
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The nurse delegates a hot compress to you. To maintain its temperature, the nurse might ask you to:
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A nurse is assessing for vocal (tactile) fremitus on a patient with pulmonary edema. Which is the appropriate technique to use?
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