The client reports difficulty swallowing. The nurse examines the mouth and notes that the tonsils are touching. What is the priority concern?

The client could raise his hand off the mattress and grip the nurse’s fingers. However, the client could not maintain the full strength of the grip with resistance.  How would the nurse document the client’s muscle strength?

F ex 9(1).png The nurse has completed the health history and a head-to-toe physical assessment of the patient in the image. What equipment must the nurse also assess and document?

Thrush-tongue-palate.jpg  Identify the condition in the picture.

The client who suffered a fall from a ladder, “sprained her wrist,” and hit their head presents to the emergency room triage desk accompanied by their spouse. What assessment is the nurse’s priority? 

The nurse instructs the client to cover one nostril and sniff.  What is the nurse assessing?

View the image. The nurse assessed and documented temperature, cap refill, pulses, strength, and nailbed color of lower extremities.  While at the bedside of the patient in the image, what else must the nurse document?feet(1).jpg 

 Identify the correct method to assess the abdomen.

Please briefly describe what the following means:  SD : R → Sr+ You must identify/describe all three components to get full credit. 

A client reports to the nurse that they are having difficulty bringing their hand to their mouth. The nurse should document limited _______.