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The Nurse Is Assessing an Adult Client

Question 16

Multiple Choice

The nurse is assessing an adult client. Which observations should the nurse include when documenting the general survey of this client?


A) Blood pressure 112/68, pulse 68, 98.6°F, respiratory rate 16.
B) Thin, well-nourished male client, appears younger than stated age.
C) Client moves about exam room without difficulty.
D) Abdomen flat, nondistended, bowel sounds present, nontender on palpation.
E) Pain rating of 3 on a 0 to 10 scale.

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