When considering the legal requirements of electronic medical charting, the nurse understands that?Choose all that apply? 

The nurse is examining a 2-year-old toddler child and asks “Can I listen to your heart?” Which critique of the nurse’s technique is most accurate?

An 88-year-old man has been hospitalized after a fall at home and his 86-year-old wife is at the bedside. She tells the nurse that she is his primary caregiver each day. What should the nurse assess for in the patient’s wife as signs of “caregiver role strain”? Choose all that apply?

A client comes to the clinic complaining of severe headaches. The client has a long history of migraines. The client is currently complaining of severe light sensitivity. Which medical term would the nurse chart in the electronic medical record to describe this light sensitivity? 

A mother of a 12 month-old is concerned because her son has had three ear infections in the past year. What would be an appropriate nursing response?

A 40-year-old man comes to the clinic reporting extreme pain in his right “big” toe. The pain is new in onset and “so painful I cannot walk on it”. The nurse notes the right toe is swollen, reddened and warm to the touch. The client cannot tolerate any touch to the metatarsal joint. What does the nurse suspect?

The role and responsibilities of the electronic health record is ? Choose all that apply?

A nurse is beginning their clinical shift in a Neurological ICU unit. The Glasgow Coma Scale (GCS) is used daily as part of the neurological physical exam. The nurse understands the following assessments are included in the GCS scale: Choose all that apply?

Be alert to symptoms that may constitute an eye emergency. Which symptom should be referred to a doctor immediately?

A nurse suspects that a client has carpal tunnel syndrome and asks her to perform the Phalen’s test. To perform this test, the client would: