Exam 7: Health Assessment

The patient has iron deficiency anemia.Which is the nurse's priority for prevention with suitably planned nursing care?

The patient is being assessed for a possible respiratory problem.In which position should the patient be placed to facilitate chest expansion during a thoracic assessment?

Nursing assistive personnel (NAP)are part of the patient care team.Which aspect of obtaining health information can the nurse delegate to NAP?

The nurse is preparing to begin the thoracic assessment of a patient.What is the initial step of the thoracic assessment?

The nurse is instructing a patient how to breathe during auscultation of the lungs.Instruction by the nurse has been effective if the patient breathes in which manner?

The nurse admitted a patient with clear lungs and 2 days later determines that the patient has fluid in the left lung.Which should the nurse implement next?

The nurse assesses a patient with light skin and observes normally shaped nail beds exhibiting pallor and a slight bluish color.Which should the nurse implement?

The nurse is preparing to assess the patient's abdomen.Nursing care is appropriate if which maneuver is seen?

The nurse assesses the patient admitted with constipation.Which assessment finding warrants further investigation?

The nurse assesses a patient with arterial occlusive disease in the lower extremities.Which activity should the nurse implement in the patient's plan of care?

The nurse is assessing the temperature of the lower legs.Which method should the nurse use to best assess the patient's skin temperature subjectively?

The nurse assesses the pupils of an older patient.What unexpected finding might the nurse identify about the patient's pupils?

The nurse is assessing a patient with a cast extending from just below the left knee to the toes.Which assessment contains a desirable patient outcome?

The nurse is performing an abdominal assessment.The technique is appropriate if the nurse uses which method?

An older patient is being assessed by the nurse.Which finding does the nurse consider abnormal when assessing the patient's risk for fall?

The nurse assesses peripheral perfusion.Which does the nurse find in a patient with arterial insufficiency?

The nurse assesses a possible melanoma on the patient's skin.Which characteristic does the lesion have that is consistent with a melanoma?

The nurse is concerned with possible impaired peripheral perfusion after performing a patient's assessment.Which assessment datum about the patient's lower extremities supports the nurse's suspicion?

The nurse has been assessing the patient's bowel sounds.Which action should the nurse implement before notifying the healthcare provider if the bowel sounds are absent?

The nurse admits the patient with mild chest pain from the emergency department.Which should the nurse implement first to gain patient cooperation during a physical assessment?