Exam 8: General Survey and Physical Exam: Objective Data

While interviewing a client, the nurse observes that the client is changing position frequently, wringing hands, and laughing at inappropriate times. Which assessment should the nurse perform?

A client is unable to identify the correct date and time during a health interview. Which indicator should the nurse document the finding as?

A mother brings her child into the clinic and states, "My child has had a fever the past few days because the skin has felt warm." Which response should the nurse provide the mother?

The nurse is preparing to measure the head circumference of an infant. Which technique should the nurse use?

The nurse is assessing a 15-month-old client. Which arterial site should the nurse use to assessing the pulse?

The nurse is preparing to obtain an adult client's temperature with a tympanic thermometer. Which technique should the nurse use to obtain an accurate reading?

The nurse is providing education about blood pressure for a group of clients. Which information should the nurse include?

The nurse is preparing to assess a client's mental status within the general survey. Which data should the nurse use to assess this status?

The nurse is reviewing the prescription for a client with pneumonia. The client's vital signs are: Temperature 101.2°F (oral), BP 100/70, pulse rate 110/min., respirations 22, and oxygen saturation 96%. Based on these findings, which order should the nurse seek clarification for?

The nurse is preparing to conduct a general survey. Which should the nurse recognize is the purpose of performing the general survey prior to the physical assessment?

The nurse is assessing an adult client. Which observations should the nurse include when documenting the general survey of this client? Select all that apply.

The nurse is obtaining vital signs for a newborn client. Which route and sequence will the nurse use to obtain vital signs?

An older client asks why their height has decreased by 1/4 of inch over past two years. Which response should the nurse provide?

The nurse observes the client walking into the room and climbing up on the exam table. The nurse notes this activity to obtain data related to which item?

The nurse is preparing to assess the temperature of a child post oral surgery suspected of having an infection. Which route should the nurse use?

The nurse is preparing to assess the blood pressure of a client with a history of a left breast mastectomy. Which anatomical location should the nurse use to place the blood pressure cuff on?

The nurse is preparing to obtain a pulse oximeter reading. Which should the nurse understand may provide a false reading? Select all that apply.

The nurse is assessing an adult client's pulse. Which method should the nurse initially use?

The nurse observes that an adolescent client is wearing dirty clothes. Which initial risk factor should the nurse further assess the client for?

The nurse is assessing an older adult client with arteriosclerosis and obtains a blood pressure reading of 172/98 mmHg. Which physiological changes should the nurse recognize are associated with the blood pressure finding? Select all that apply.