Exam 8: General Survey and Physical Exam: Objective Data

The nurse is preparing to assess the respiratory system of an infant. Which physiological differences between the infant and a child should the nurse consider?

During the assessment of an adult client's blood pressure, the nurse notes the following on the sphygmomanometer: first faint tapping sounds at 136, swishing sounds at 120, clear tapping sounds at 108, muffled sounds at 98, and silence at 76. Which should the nurse document the client's blood pressure in this way? ________. Record your answer as a fraction.

A client asks what the numbers in the blood pressure mean. Which statements should the nurse include in the response to the client? Select all that apply.

The nurse is preparing to obtain initial vital signs on a client with seizure activity of unknown etiology. Which method should the nurse use to obtain the temperature?

The nurse educator is observing the student nurse take a blood pressure on an older adult client. In which instances should the educator intervene? Select all that apply.

The nurse is assessing a client's left brachial pulse. Which area will the nurse palpate to?

The nurse is preparing to weigh a client on a digital scale. Which intervention should the nurse implement to obtain an accurate weight?

An unlicensed assistive personnel (UAP)reports an older adult's vital signs to nurse as follows: Temperature 97.4°F (oral), BP 165/70, pulse rate 84/min., and respirations 28. Which action should the nurse take?

The nurse notes the client's oral temperature at 6 a.m. was 98.0°F and 99.2°F at 5:00 pm. Which should the nurse recognize is the reason for the variation?

The educator has observed the nurse taking the blood pressure with the client's arm above the level of the heart. Which assessment finding does the educator anticipate?

The new nurse asks the educator, "What is the most important part of a pain assessment?" Which response should the nurse educator provide?