eaq 4

While performing a physical assessment of a female client, the nurse positions the client in Sims' position. Which body system will be assessed in this position? Select all that apply.

vagina, rectum, female genitalia

A registered nurse is teaching a nursing student how to assess for edema. Which statement made by the student indicates the need for further education?

"If the pressure on an edematous site leaves an indentation of 2 mm, a score of 2+ is given."

An 85-year-old client has just been admitted to a nursing home. When designing a plan of care for this older adult, the nurse recalls what expected sensory losses associated with aging? Select all that apply.

Diminished sensation of pain Impaired hearing of high frequency sounds

The nurse is caring for a client who has lost an arm in a motor vehicle accident. Which reaction made by the client leads the nurse to realize that the client is in the withdrawal phase of adjusting to the change in body image?

The client recognizes the reality and becomes anxious.

While performing a physical assessment of a client, a nurse notices patchy areas with loss of pigmentation on the skin, hands, and arms. What is the probable etiology for this condition?

autoimmune disease