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    Hesi rn health assessment proctored exam

    During the admission assessment, the nurse observes that a client has a limping gait. Which assessment should the nurse complete next?

    Explanation & Rationale

    A. A limping gait can be a sign of pain or discomfort while walking. By asking about pain while bearing weight, the nurse can get a better understanding of the underlying cause of the limp. B. A limping gait is not typically associated with changes in level of consciousness. This assessment is not relevant in this situation. C. While a spinal deformity can cause a limping gait, it is not the most likely cause in this case. The nurse should first assess for pain while bearing weight to get a better understanding of the underlying issue. D. Orthostatic blood pressure is a measure of blood pressure changes when a person stands up. It is not typically associated with a limping gait and is not relevant in this situation.

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