After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These
... [Show More] types of data would beThe nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in mind that novice nurses, without a background of skills and experience from which to draw, are more likely to make their decisions using. What step of the nursing process includes data collection by health history, physical examination, and interview?. The nurse recognizes that the concept of prevention in describing health is essential because. A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurse knows that including cultural information in his health assessment is important toWhen performing a physical assessment, the first technique the nurse will always use isWhich of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient?The nurse is assessing a patients skin during an office visit. What part of the hand and technique should be used to best assess the patients skin temperature?The nurse is reviewing percussion techniques with a newly graduated nurse. Which technique, if used by the new nurse, indicates that more review is needed?The nurse hears bilateral loud, long, and low tones when percussing over the lungs of a 4- year-old child. The nurse shouldThe nurse will use which technique of assessment to determine the presence of crepitus, swelling, and pulsations?The nurse is unable to palpate the right radial pulse on a patient. The best action would be to:. A man is at the clinic for a physical examination. He states that he is very anxious about the physical examination. What steps can the nurse take to make him more comfortable?When preparing to perform a physical examination on an infant, the nurse should:Which of these responses might the nurse expect during a functional assessment of a patient whose leg is in a cast?The nurse is assessing the abilities of an older adult. Which activities are considered IADLs?An older patient has been admitted to the intensive care unit (ICU) after falling at home. Within 8 hours, his condition has stabilized and he is transferred to a medical unit. The family is wondering whether he will be able to go back home. Which assessment instrument is most appropriate for the nurse to choose at this time?During a morning assessment, the nurse notices that an older patient is less attentive and is unable to recall yesterdays events. Which test is appropriate for assessing the patients mental status?An 85-year-old man has been hospitalized after a fall at home, and his 86-year-old wife is at his bedside. She tells the nurse that she is his primary caregiver. The nurse should assess the caregiver for signs of possible caregiver burnout, such aA patient will be ready to be discharged from the hospital soon, and the patients family members are concerned about whether the patient is able to walk safely outside alone. The nurse will perform which test to assess this?When using the various instruments to assess an older persons ADLs, the nurse needs to remember that a disadvantage of these instruments includesThe nurse is assessing an older adults advanced activities of daily living (AADLs), which would include:The nurse is preparing to use the Lawton IADL instrument as part of an assessment. Which statement about the Lawton IADL instrument is true?he nurse needs to assess a patients ability to perform activities of daily living (ADLs) and should choose which tool for this assessment?The nurse is examining a patient who is complaining of feeling cold. Which is a mechanism of heat loss in the body?When measuring a patients body temperature, the nurse keeps in mind that body temperature is influenced byWhen evaluating the temperature of older adults, the nurse should remember which aspect about an older adults body temperature?A 60-year-old male patient has been treated for pneumonia for the past 6 weeks. He is seen today in the clinic for an unexplained weight loss of 10 pounds over the last 6 weeks. The nurse knows that:When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair. On the basis of this observation, the nurse should:The nurse is taking temperatures in a clinic with a TMT. Which statement is true regarding use of the TMT?To assess a rectal temperature accurately in an adult, the nurse wouldWhich technique is correct when the nurse is assessing the radial pulse of a patient? The pulse is counted for:. When assessing a patients pulse, the nurse should also notice which of these characteristics?When assessing the pulse of a 6-year-old boy, the nurse notices that his heart rate varies with his respiratory cycle, speeding up at the peak of inspiration and slowing to normal with expiration. The nurses next action would be to: [Show Less]