NUR 230 Exam 1 Sherpath - Questions and Answers A patient with a herniated disc is schedules for surgery to fuse two vertebrae in her cervical spine.
... [Show More] Which activity is most likely to be a palliative factor for this patient? performing neck, back, and shoulder exercises prescribed by a physical therapist The nurse notices that his patient has none of the signs and symptoms normally associated with pain. The patient does, however, seem moody and a bit uncooperative. What conclusion does the nurse draw? the absence of physiological signs and symptoms is associated with chronic pain Which of the following is a risk factor for decreased oxygen saturation level in a patient chest wall injury What should the nurse teach NAP about selecting the appropriate site for measuring a patient's oxygen saturation level I've checked her capillary refill, and its acceptable in both her hands and feet The nurse measures a patient's oxygen saturation level as being 83%. What would the nurse do first? Ask the patient whether he or she is having trouble breathing The nurse is preparing to measure the oxygen saturation level of a patient with obesity. Which action would help ensure an adequate measurement? use a disposable tape-on sensor A patient is prescribed continuous oxygen saturation monitoring. The nurse would confirm that the alarms have been set to which limits low of 85% and high of 100% The nurse is preparing to assess a patient's blood pressure. What would cause the blood pressure reading to be inaccurately high? blood pressure cuff is too loose around the arm What would cause the nurse to delay the assessment of a patient's blood pressure? patient has just finished having a cigarette The nurse has just measured a patient's blood pressure and is waiting 2 minutes to measure the pressure again. What is the purpose of taking two measurements? minimize the effect of anxiety The nurse is teaching a patient about ways to reduce BP. what will the nurse include in these instructions ensure that your diet has an adequate daily intake of calcium Where should the nurse measure the BP of a patient recovering from a left-sided mastectomy? use the right arm to take BP To ensure accurate findings, what info would the nurse verify prior to beginning inspection? Overhead lighting and lamp are available Which condition is necessary for accurate inspection? adequate time to complete examination What components are included in a general inspection of the patient? overall color of skin, symmetry of body, obvious injuries Which part of the hand is used to palpate the patient's abdomen? finger pads Which part of the hand is best used to assess for fremitus, or vibrations ball of hand Which part of the hand would the nurse use to palpate pulsations? finger pads During an abdominal assessment, palpation occurs after auscultation for what reason palpation may increase intestinal activity Which tone would the nurse expect to hear when percussing over the stomach Tympany Dullness heard over dense organs Resonance heard over the lungs Flatness heard over the bones or muscles Hyper resonance heard over hyper inflated (emphysematous) lungs Which techniques are required to conduct accurate percussion? downward snap of striking finger, tap sharply and rapidly, use the tip of the finger to strike, having short fingernails [Show Less]