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Which physical assessment framework promotes critical thinking?
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- The home care nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asks the nurse how to store the unopened vials of insulin. The nurse should tell the client to take which action?
- The nurse assesses a client's bowel sounds. The nurse listens to all four quadrants of the abdomen over one full minute and does not detect any audible sounds. What should the nurse do next?Gently palpate the abdomen for distention. Document the absence of bowel sounds. Assess for the presence of rebound tenderness. Continue to listen for the presence of bowel sounds.
- Client is prescribed angiotensin-converting enzyme (ACE) inhibitors and angiotensin-receptor blockers (ARBs) improve the function of their diagnosed heart failure. What should the nurse assess first prior to administering these medications to a client?Apical pulse. Heart sounds. Blood pressure. Intake and output.