During the health history a client describes recent episodes of intermittent facial pain lasting several minutes. The vital signs are 98.6°F orally, pulse 86, respirations 20, blood pressure 142/88 and O2 saturation of 96%. The nurse should recognize that this complaint is suggestive of what health problem?

A client presents with a cluster of upper airway complaints that include rhinorrhea. Which area of assessment would yield the most pertinent information to the etiology of rhinorrhea?

The nurse is assessing a client admitted on the medical surgical unit. The patient has no complaints of pain or distress noted. The temp is 98.6°F, pulse of 88, respirations of 18 and blood pressure of 172/88. The patient's electronic health record notes a diagnosis of esotropia that has been present for the past five years. The nurse is providing an external eye exam. What priority finding would the nurse expect from the client?

A nurse in the emergency department assesses a client's pupillary reaction and observes pinpoint pupils. The client seems lethargic but oriented to person and place. There is a significant other at the bedside who notes this is not "normal" for them. The nurse interprets this finding as suggesting which of the following?

A decrease in tongue strength is noted on examination of a client. The nurse interprets this as indicating a problem with which cranial nerve?

The nurse has begun the objective assessment of a client's heart and neck vessels and is assessing the client's jugular veins. What finding would the nurse consider to be expected in a healthy client?

A nurse is completing the Romberg's test on a patient. Which is the correct technique for conducting this?

During an inspection of a client's tonsils with a penlight and tongue depressor, the nurse notes that the tonsils contact the client's uvula. The patient states they have had a sore throat and have been using lidocaine spray as directed by the provider. What would be the most accurate documentation of this finding?

A health promotion teaching is focusing on hygiene and the prevention of illness. When instructing clients on how to clean their ears, what action should the nurse recommend?

The nurse's inspection of a client's extremities reveals a deep, circular, painful wound on the client's great toe. What should the nurse suspect as the etiology of the client's wound?

The nurse is reviewing a client's electronic health record before assessing her mouth. Which of the following diagnoses would the nurse recognize as an indication for immediate medical follow up?