Exam 22: Assessing Health Status

To correctly determine the strength of a patient's lower extremities during a neurological examination, the nurse asks the patient to:

A female patient of Asian descent was admitted to the medical-surgical unit with possible lung cancer. A male nurse is preparing to perform a physical assessment. It is best for the male nurse to:

When educating a patient about the warning signs of cancer, the nurse includes which of the following? (Select all that apply.)

The nurse who is assessing a patient for heart sounds anticipates that the S₂ sound (the "dub" sound") can be heard best at the ________ area.

The nurse is assessing a patient's lung sounds and hears a wheeze in the lower left lobe. This wheeze is categorized as a(n) ______________ sound.

When performing deep palpation, the nurse should:

Prior to preparing a female patient for a pelvic examination, the nurse should:

The nurse takes special care in the draping of a patient in the lithotomy position in order to diminish ____________________________.

When the nurse asks the neurologically impaired patient to follow the motion of the nurse's fingers, the patient's eyes track the fingers with jerky movements, which should be documented as ______________________.

A patient was admitted with possible head trauma after a motor vehicle accident. The nursing implementation with the highest priority is to:

A nurse records absence of bowel sounds after assessing the abdomen:

The nurse is informed that a patient had abnormal heart sounds during the night shift. When auscultating abnormal heart sounds, the nurse knows to listen to heart sounds with the:

The nurse lightly palpates the abdomen of a patient during a physical examination. On palpation to the right side of the abdomen, the patient cries out and draws the knees to the chest. The nurse should:

To the breath sounds of a patient correctly, the nurse should:

To perform the Weber test, the tuning fork is struck and placed:

The nurse is assessing a patient's heart sounds and hears a "swish" that is recorded as a ___________.

During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

The nurse notes that a patient has an exaggerated lumbar curve. This is indicative of __________.

The nurse who is assessing the patient with the Glasgow Coma Scale finds a patient who can open his eyes spontaneously, obeys all commands, and is oriented. The nurse documents a score of:

Before starting the initial morning care or the physical assessment of the patient, the first intervention the nurse would perform would be: