*NURSING > QUESTIONS & ANSWERS > NURS 190 / NURS190 PHYSICAL ASSESSMENT KIM HEIN MIDTERM EXAM. QUESTIONS WITH 100% CORRECT ANSWERS. (All)

NURS 190 / NURS190 PHYSICAL ASSESSMENT KIM HEIN MIDTERM EXAM. QUESTIONS WITH 100% CORRECT ANSWERS.

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55. Which of the following are considered subjective data? (Select all that apply) (2 Points) -Lungs with vesicular sounds to all fields -client reports family history of high blood pressure -Blo... od pressure 120/82mmHG -client denies pain 56. The nurse is testing PERRLA in an adult client and the client asks the nurse to explain accommodation. Which of the following is the best response by the nurse? (2 Points) -"This means your pupils dilate when I shine the light in your eye" -"This means your pupils constrict when I shine the light in your eye." -"Accommodation is when your pupils constrict when an object is moved farther away" -"Accommodation is when your pupil size adjusts from far to near" 57. The BSN prepared nurse understands the unique changes that occur as client's age. State 2 changes you would consider normal in your physical assessment for the older adult client. (Write 1-2 sentences) Central vision loss due to macular degeneration and decrease in heart rate are two normal changes that would be considered normal for an older adult client during a physical assessment. Ref- notes (2 Points) 58. The older adult client is admitted with pain and pressure to the eyes. On inspection, the sclera is red and the pupil is an irregular shape to the left eye. The nurse should further assess for: (2 Points) -macular degeneration -cataracts -presbyopia -glaucoma 59. The nurse is asking the client with a migraine headache what they do to alleviate the pain. The nurse is assessing __________ in OLDCART: (2 Points) -onset -characteristics -location -relieving factors 60. The client is in atrial fibrillation and the nurse plans to assess for a pulse deficit. To perform this assessment, the nurse palpates the carotid pulse while: (2 Points) -auscultating the mitral area of the heart -asking another nurse to palpate the opposite carotid artery -comparing to the blood pressure reading -palpating the radial pulse 61. The client is seen by the nurse in the urgent care center with complaints of a headache in the frontal lobes. On collection of history, the nurse learns the client had a "bad cold" about two weeks ago. Which of the following should the nurse perform for a comprehensive sinus assessment? (2 Points) -inspection and palpation -palpation, direct percussion, transillumination -inspection, palpation, percussion, and auscultation -palpation, direct percussion, auscultation [Show More]

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