NR 509 Week 7 Immersion: Physical Assessment Questions-Answers

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NR 509 Week 7 Immersion: Physical Assessment Questions-Answers When performing a physical assessment, the first technique the nurse will always use B. Inspection The nurse is preparing to perform... a physical assessment. Which statement is true about the physical assessment? The inspection phase: B. Takes time and reveals a surprising amount of information The nurse is assessing a patient's skin during an office visit. What part of the hand and technique should be used to best assess the patient's skin temperature? B. Dorsal surface of the hand; the skin is thinner on this surface than on the palms Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient? A. Palpation The nurse is preparing to assess a patient's abdomen by palpation. How should the nurse proceed? D. The assessment begins with light palpation to detect surface characteristics and to accustom the patient to being touched. The nurse would use bimanual palpation technique in which situation? B. Palpating the kidneys and the uterus The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to assess the ___________ of the underlying tissue. C. Density The nurse is reviewing percussion techniques with a newly graduated nurse. Which technique, if used by the new nurse, indicates that more review is needed? A. Percussing once over each area When percussing over the liver of a patient, the nurse notices a dull sound. The nurse should: A. Consider this a normal finding The nurse is unable to identify any changes in sound when percussing over the abdomen of an obese patient. What should the nurse do next? C. Increase the amount of strength used when attempting to percuss over the abdomen The nurse hears bilateral loud, long and low tones when percussing over the lungs of a 4 year old child. The nurse should D. Consider this finding as normal for a child this age and proceed with the examination A patient has suddenly developed shortness of breath and appears to be insignificant respiratory distress. After calling the position and placing the patient on oxygen, which of these actions is the best for the nurse to take went further assisting this patient? B. Bilaterally percuss the thorax, noting any differences in percussion tones The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use? B. Although the stethoscope does not magnify sound, it does block out extraneous room noise The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm: A. Is used to listen for high-pitched sounds Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should: D. Check the temperature of the room and offer blankets to the patient if she or he feels cold. The nurse will use which technique of assessment to determine the presence of crepitus, swelling and pulsations? A. Palpation The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope? The otoscope: D. Directs light into the ear canal and onto the tympanic membrane An examiner is using an ophthalmoscope to examine a patient's eyes. The patient has astigmatism and is nearsighted. The use of which of these techniques would indicate that the examination is being correctly performed? D. Rotating the lens selector dial to bring the object into focus The nurse is unable to palpate the right radial pulse on a patient. The best action would be to: C. Use a Doppler device to check for pulsations over the area The nurse is preparing to perform a physical assessment. The correct action by the nurse is reflected by which statement? The nurse: D. Organizes the assessment to ensure that the patient does not change positions too often A man is at the clinic for a physical examination. He states that he is very anxious about the physical examination. What steps can the nurse take to make him more comfortable? A. Appear unhurried and confident when examining him When performing a physical examination, safety must be considered to protect the examiner in the patient against the spread of the infection. Which of these statements describes the most appropriate action the nurse should take when performing a physical examination ? B. Hands are washed before and after every physical patient encounter The nurses examining a patient lower leg and notices a training ulceration. Which of these actions is most appropriate in this situation? C. Washing hands, putting on gloves, and continuing with the examination of the ulceration During the examination offering some brief teaching about the patient's body or examiners finding is often appropriate. Which one of these statements by the nurse is most appropriate? C. Your pulse is 80 beats per minute which is within the normal range The nurse keeps in mind that the most important reason to share information and to offer brief teaching while performing be physical examination is to help the: B. Examiner to build rapport and to increase patient's confidence in him or her .........Continued [Show More]

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