when documenting subjective data for the cardiovascular system the nurse would include which of the following?
a vital signs
b peripheral pulses
c
... [Show More] chest pain
d heart sounds
(Ans- chest pain
when responding to questions asked during a review of systems, the client reports having a sore throat which "happens all the time." The nurse should ask which question next?
a when did this sore throat begin?
b what do you mean you have sore throats all the time?
c did you also have sore throats as a child?
d did you ever take antibiotics?
(Ans- when did this sore throat begin?
the nurse is gathering present health data during the health history assessment. The nurse asks the client about alcohol use. The client angrily asks, "why do you need to know?" what is the nurse's best response?
a if you consume alcohol then I will need to provide alcohol counseling
b I need to know because alcohol can interact with many medications
c you are very defensive. this suggests you probably have an alcohol problem
d I can make a referral to alcohol self-help groups for you
(Ans- b I need to know because alcohol can interact with many medications
Prior to obtaining data for a health history, the nurse should take which action?
a introduce self to client and position client comfortably in a chair
b bring in a family member to verify all data
c review medical record to validate client information
d tape record client information to avoid omissions
(Ans- a introduce self to client and position client comfortably in a chair
Which question would the nurse ask to gather information about the client's health beliefs?
a what is the name of the clinic you usually attend?
b can you tell me about your current abdominal pain?
c what do you think it means to be healthy?
d what type of health insurance do you have?
(Ans- c what do you think it means to be healthy?
The nurse is performing a physical assessment and is unable to palpate a pulse. What is the best action to take next?
a ask another nurse to check for a pulse
b notify the healthcare provider about the finding
c page the nursing supervisor to palpate the pulse
d verify the finding with a doppler ultrasound
(Ans- ask another nurse to check for a pulse
To assess vibration during a physical assessment, the nurse would use which part of the hand?
(Ans- ulnar aspect
Upon completion of the physical examination of a client, the nurse should take which action?
a have another nurse confirm all findings
b notify the healthcare provider of all findings
c inform the client of the findings
d verify all findings with clien [Show Less]