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The nurse in the clinic is preparing to perform a physical assessment on a client who arrived for a routine check-up. Before beginning the assessment, which four activities should the nurse carry out? (Select all that apply.)

Wash hands

Provide patient privacy

Obtain a provider healthcare order

Position the client comfortably on the sturdy examination table

Explain the procedure to the client

Question Solution

Correct Answer : A,B,D,E

A. Washing hands is a crucial step to prevent infection and maintain hygiene before any physical assessment.

B. Providing patient privacy is essential to ensure the client's comfort and confidentiality during the assessment.

C. While it’s important to follow the provider’s orders, a routine check-up typically does not require a new healthcare order, as the nurse can perform the assessment as part of standard care.

D. Positioning the client comfortably on the examination table is necessary to facilitate the assessment and ensure the client's comfort during the procedure.

E. Explaining the procedure to the client helps to alleviate anxiety, improve understanding, and foster cooperation during the assessment.

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A. The client has complete bilateral paralysis of the arms and legs. B. The client has lost the ability to move the right arm but is able to walk independently. C. The client has lost the ability to move the right arm but is able to walk independently. D. The client has weakness on the right side of the face and tongue. E. The client has lost the ability to ambulate independently but is able to feed and bathe herself or himself without assistance. F. The client has weakness on the right side of the body.

Correct Answer is ["D","F"]

Explanation

A. This statement indicates complete paralysis of both sides, which does not apply to hemiparesis, where one side is affected.

B. While this could describe some patients, it does not accurately represent "complete" right-sided hemiparesis.

C. This option is a repeat and also does not accurately reflect complete right-sided hemiparesis.

D. Weakness on the right side of the face and tongue is consistent with right-sided hemiparesis, as the stroke may affect motor control in those areas.

E. This describes a client who is less severely affected and may not apply to someone with complete right-sided hemiparesis.

F. Weakness on the right side of the body is a direct characteristic of right-sided hemiparesis.

A. Bronchovesicular B. Bronchial C. Dullness D. Flatness

Correct Answer is ["A","B"]

Explanation

A. Bronchovesicular sounds are normal lung sounds that are typically heard over the mainstem bronchi and are expected during auscultation.

B. Bronchial sounds are also normal and are typically heard over the trachea; they are expected lung sounds.

C. Dullness is not a lung sound but rather a descriptor of percussion notes, typically indicating fluid or solid mass in the lungs.

D. Flatness is also not a normal lung sound but refers to a percussion note that can suggest the presence of fluid or a solid mass.

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The nurse in the clinic is preparing to perform a physical assessment on a client who arrived for a routine check-up. Before beginning the assessment, which four activities should the nurse carry out? (Select all that apply.)

Free Nursing Test Bank

Correct Answer is ["D","F"]

Explanation

Correct Answer is ["A","B"]

Explanation

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Take full exam for free The nurse in the clinic is preparing to perform a physical assessment on a client who arrived for a routine check-up. Before beginning the assessment, which four activities should the nurse carry out? (Select all that apply.)

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The nurse is assigned to care for a client with complete right-sided hemiparesis [weakness] from a stroke (brain attack). admitting diagnosis cerebrovascular attack Right-sided hemiparesis Which characteristics are associated with this condition? Select 2 that apply.

Correct Answer is ["D","F"]

Explanation

Which lung sounds are expected? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

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The nurse in the clinic is preparing to perform a physical assessment on a client who arrived for a routine check-up. Before beginning the assessment, which four activities should the nurse carry out? (Select all that apply.)