This part of the body is more sensitive to vibrations
A. Pads of fingertips
B. Back of hand
C. Palmar surface
D. Dome of the diaphragm
Answer: C
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The following different parts of the hand are more sensitive for specific assessments during palpation except:
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John Joseph was scheduled for a physical assessment. When percussing the client's right lower quadrant of the abdomen, the nurse would expect to find which assessment data as a normal sign over his abdomen?
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Physical assessment is being performed to a client by Nurse Tolu. During the abdominal examination, Tolu should perform the four physical examination techniques in which sequence?
A. Auscultation immediately after inspection and then percussion and palpation
B. Percussion, followed by inspection, auscultation, and palpation
C. Palpation of tender areas first and then inspection, percussion, and auscultation
D. Inspection and then palpation, percussion, and auscultation
Answer: A
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The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health history?
A. To identify human response patterns
B. To provide a data base of subjective information about the patient's past and present medical conditions and treatments
C. To formulate functional health problem
D. To cluster information
Answer: B
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The nursing history provide information to assist the nurse primarily in
A. diagnosing a medical problem
B. investigating patient symptoms
C. classifying subjective and objective data
D. supporting identification of nursing diagnoses
Answer: D
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The 'gold standard' for assessing the existence of pain is:
A. Grimacing on movement
B. Client self-report
C. Increased heart rate and palpitation
D. Anxiety level
Answer: B
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After assessing a client in pain, the nurse
A. Document exact description given by the client
B. Choses from the list of pain descriptors what best reflects the client's description
C. Ask the family to describe how they view the client pain
D. Document how he or she best sees the client's pain
Answer: A
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A student asks the nurse what is the best way to assess a client's pain. Which response by the nurse is best?
A. Numeric pain scale
B. Behavioral assessment
C. Objective observation
D. Client's self-report
Answer: D
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After completing an initial assessment on a patient, the nurse has charted that his respirations are eupneic and his pulse is 58. This type of data would be:
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