During an examination of a patient’s abdomen, the nurse notes that the abdomen is rounded and firm to the touch. The nurse suspects gaseous distention as the patient denies “passing flatus yesterday or today”. During percussion, the nurse notes a drum-like quality of sound across the quadrants. Tympany upon percussion indicates?

What are symptoms of hearing loss a nurse may note in a patient? Choose all that apply?

When performing a physical assessment on any patient, any place, and at any time- the technique the nurse would “always use first” when approaching the bedside?

An older adult has had surgery the previous day. The nurse is assessing the patient’s current functional abilities the next day. It is important for the nurse to assess the patient’s pain level. True or False?

The nurse is preparing to measure the length, weight, head, chest, and abdominal circumference of a newborn. The nurse would measure the _________________?

While doing the otoscopic exam of a 18-month-old boy who has been rubbing his left ear, the nurse finds that his left tympanic membrane is bright red and the light reflex is not visible. The most likely cause of this is:

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?