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    Hesi rn health assessment proctored exam
    Select All That Apply

    An older male client reports to the nurse that his feet are cold. Before covering the client's feet, which assessment(s) should the nurse complete? Select all that apply.

    Explanation & Rationale

    A. Test feet for a positive Babinski reflex. This assesses neurological function but is not directly related to cold feet. B. Observe color of the feet and toes. This is important as changes in color can indicate poor circulation. C. Assess volume of the pedal pulses. This is important to assess the adequacy of blood flow to the feet. D. Palpate dorsal surface of feet for warmth. This directly assesses temperature and potential circulation issues. E. Measure skin elasticity around the ankles. This assesses hydration status but is less relevant to cold feet.

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