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VNPT51 CH.12 Q&A
VNPT51 CH.12 Physical Assessment Questions-mb
| Question | Answer |
|---|---|
| What elements should be present to begin the nurse-patient relationship as related to the assessment process? (select all that apply.) | 1,2,3,5 (Reflect back to the book on pg.311 to see answers.) Answers was too long and exceeded the characters count. |
| A patient has been admitted with acute bronchitis. When performing a lung assessment, the nurse is best able to auscultate the lower lobes by listening to what location on the body? | 1. posterior |
| A 90-year-old patient is having difficulty answering the nurse's questions while completing the patient history. What should the nurse keep in mind about caring for older adults? | 3. the nurse should sit down at eye level with the patient and allow a longer period to answer each question |
| The nurse documents which finding while assessing a patient with heart failure where it is noted that the lower extremities have deep indentations that remain for 30 seconds when pressed? | 3. 3+ pitting edema |
| The patient reports severe abdominal pain when answering the call light. What type of assessment should the nurse perform? | 2. focused assessment |
| An elderly male patient is admitted for chest pain. How does the nurse best document the information the patient gives about his symptoms? | 1. use the patient's own words in quotation marks |
| The nurse asks the patient about which signs and symptoms experienced when reviewing the elderly patient's gastrointestinal system? (Select all that apply.) | 1. changes in bowel habits 2. pyrosis (heartburn) 3. firmness of the abdomen 5. anorexia |
| What is the first area to be assessed after taking vital signs when performing a nursing assessment? | 1. assess for level of consciousness and orientation |
| A patient has been admitted for dehydration after a prolonged period of diarrhea. Which finding does the nurse expect to observe in this patient? | 2. skin warm, dry, pale with decreased skin turgor |
| The nurse assesses a vibration felt along the patient's carotid artery with palpation. How should the nurse describe this assessment finding? | 2.thrill |
| The nurse is preparing a female patient for a gynecologic examination. Which patient position best assists the health care provider in this examination? | 3. lithotomy |
| Which risk factor for cardiovascular disease can be modified? | 3.diet |
| What is the term used to describe a patient's respiratory rate that exceeds 36 breaths per minute? | 3.tachypnea |
| The nurse is auscultating breath sounds on a patient and detects adventitious breath sounds. the nurse describes them as a loud, bubbly noise heard during inspiration. The nurse is correct when using which term for documenting this finding? | 1. coarse crackles |
| The nurse is documenting a patient assessment. The nurse correctly identifies which information as being objective data? (Select all that apply) | 4. "It is noted that the blood pressure (B/P) is high at 156/96." 5. "Abdomen is distended and hypoactive bowel sounds are noted." |
| The nurse is performing a cardiovascular system assessment on a patient. Which is included in an assessment of the peripheral vascular system? (Select all that apply.) | 2,3,4 |
| The patient has been admitted to to the medical unit with a wound to the left lower extremity from a mowing accident 2 days ago. The inflammatory response present at this stage includes which signs and symptoms? (Select all that apply.) | 1. swelling 2. pain |
| The patient asks the nurse why all of the nurses always listen to his abdomen with the stethoscope before pressing on it. Which response is correct? | 2. this prevents distortion of bowel sounds |
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barragan_93230
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