【单选题】While assessing the nails of an older adult, the nurse observes early clubbing. The nurse should further evaluate the client for signs and symptoms of
【单选题】While assessing the abdominal sounds of an adult client, the nurse hears high-pitched tingling sounds throughout the distended abdomen. The nurse should refer the client to a physician for possible
【单选题】You are caring for a patient with a head injury from a motor vehicle accident. While assessing the patient you notice a clear fluid draining from his nose. Which nursing action is most appropriate?
A.
Prepare to suction the patient
B.
Give the patient tissues and tell him to blow his nose
C.
Check that the HOB is at 30 degrees and continue to monitor the patient
D.
Cover the fluid with sterile gauze and call the doctor
【单选题】While assessing the thoracic area of an adult client, the nurse plans to auscultate for voice sounds. To assess bronchohony, the nurse should ask the client to ( )