A nurse is caring for a 46-year-old male client in the emergency department who is experiencing difficulty breathing that has worsened over the last 24 hours.

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.

While observing a client’s face, which assessment finding requires immediate intervention by the nurse?

The nurse asks a female client about the proverb “Glass Houses,” and she replies, “It will break the windows.”. Which conclusion should be documented about this client’s response?

The nurse should anticipate difficulty locating the point of maximal impulse (PMI) in which client?

While performing a physical assessment, the nurse is unable to palpate the client’s pedal pulses. Which action should the nurse take?

During an abdominal assessment, a client with a temperature of 103°F (39.4°C) experiences pain and abruptly stops inhaling during deep palpation.

Which prescription is most important for the nurse to implement?

While auscultating a client’s abdomen, the nurse hears a low-pitched blowing sound in the upper midline area. Which is the likely indication of this finding?

A client reports experiencing stomach pain and it is localized in the middle section of the abdomen below the xiphoid process.

The nurse should describe the pain as occurring in which region of the abdomen?

Heart sounds are loudest for S1 at the ______ and S2 at the _____.

During the admission assessment, a client admitted with chest pain reports having no breathing problems and no trouble sleeping at night.

To obtain further data regarding possible orthopnea, which action should the nurse take?

In assessing tactile fremitus in the client with suspected pneumonia, the nurse should perform which action?