When performing an abdominal assessment, the nurse uses a different order of techniques than with other systems. Which of the following represents this
... [Show More] order
Question 2:
(see full question)
The nurse in post-anesthesia recovery (PAR) is caring for a 27- year-old client following an appendectomy. Twenty minutes after receiving 4 mg of intravenous (IV) morphine for abdominal pain, the client continues to report abdominal discomfort and requests more morphine. Which action by the nurse is best?
Question 3:
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The nurse will obtain the greatest amount of information about the thyroid gland by using which technique of assessment?
Question 4:
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The nurse is asking admission interview questions and the client has explained the reason for seeking care. Which of the following is the most appropriate way to document the response?
E
Chapter 25: Health Assessment - Page 628
Question 5:
(see full question)
The nurse in the emergency department observes a client experiencing a generalized tonic–clonic seizure. What is the priority intervention for the nurse to take?
Chapter 25: Health Assessment - Page 625
Question 6:
(see full question)
The nurse is caring for a client who just informed her that he
noticed some blood in the toilet after a bowel movement. The nurse
Chapter 25: Health Assessment - Page 641
Reference: Taylor, C. R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter
25: Health Assessment, p. 654, Box 25-5.
Chapter 25: Health Assessment - Page 654
Question 7:
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The nurse is auscultating an apical pulse on a 39-year-old client admitted with pneumonia. In counting the apical pulse, the nurse recognizes which characteristic about heart sounds?
Question 8:
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Which assessment measure would the nurse use to assess the location, shape, size, and density of a tumor?
You
Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters
Kluwer Health, 2015, Chapter 25, Health Assessment, p. 635
Question 9:
(see full question)
The nurse is palpating the skin of a 30-year old patient and documents that when picked up in a fold, the skin fold slowly returns to normal. What would be the next action of the nurse based on this finding?
Correct
Explanation
Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters
Kluwer Health, 2015, Chapter 25, Health Assessment, p. 639
Question 10:
(see full question)
The nurse is using a bed scale to weigh a patient, and the patient becomes agitated as the sling rises in the air. What would be the priority nursing intervention in this situation?
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