SOLVED!!! NR 509 COMPREHENSIVE REVIEW OF JARVIS 7TH EDITION CHAPTER 30 QUESTIONS (Bedside Assessment and Electronic Documentation: Physical Examination & Health Assessment)

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SOLVED!!! NR 509 COMPREHENSIVE REVIEW OF JARVIS 7TH EDITION CHAPTER 30 QUESTIONS (Bedside Assessment and Electronic Documentation: Physical Examination & Health Assessment) ◇This material contains c... omprehensive summary of information in the form of great test questions with descriptive answers helpful for exams study. Thorough Review of Jarvis 7th Edition Chapter 30 Questions. All the best Champions! ______ MULTIPLE CHOICE 1. At the beginning of rounds when entering the room, what should the nurse do first? a. Check the intravenous (IV) infusion site for swelling or redness. b. c. d. ANS: C When entering a patients room, the nurse should make direct eye contact, without being distracted by IV pumps and other equipment, and introduce him or herself as the patients nurse. DIF: Cognitive Level: Analyzing (Analysis) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 2. During an assessment, the nurse is unable to palpate pulses in the left lower leg. What should the nurse do next? a. NURSINGTB.COM Document that the pulses are nonpalpable. b. c. d. ANS: D The nurse should be prepared to assess pulses in the lower extremities by Doppler measurement if they cannot be detected by palpation. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 3. During a morning assessment, the nurse notices that a patients urine output is below the expected amount. What should the nurse do next? a. Obtain an order for a Foley catheter. b. Obtain an order for a straight catheter. This study source was downloaded by 100000830034489 from CourseHero.com on 09-11-2021 17:10:20 GMT -05:00 https://www.coursehero.com/file/54651946/TB-Chapter-30-Bedside-Assessment-and-Electronic-Documentationpdf/ NURSINGTB.COM Reassess the pulses in 1 hour. Ask the patient turn to the side, and then palpate for the pulses again. Use a Doppler device to assess the pulses. Check the infusion pump settings for accuracy. Make eye contact with the patient, and introduce him or herself as the patients nurse. Offer the patient something to drink. 451 This study resource wasPHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) c. d. ANS: C If urine output is below the expected value, then the nurse should perform a bladder scan according to institutional policy to check for retention. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 4. What should the nurse assess before entering the patients room on morning rounds? a. Posted conditions, such as isolation precautions b. c. d. ANS: A NURSINGTB.COM On the way to the patients room, the nurse should assess the presence of conditions such as isolation precautions, latex allergies, or fall precautions. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control 5. The nurse has administered a pain medication to a patient by an IV infusion. The nurse should reassess the patients response to the pain medication within _____ minutes. a. 5 b. c. d. ANS: B If pain medication is given, then the nurse should reassess the patients response in 15 minutes for IV administration or 1 hour for oral administration. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapies This study source was downloaded by 100000830034489 from CourseHero.com on 09-11-2021 17:10:20 GMT -05:00 https://www.coursehero.com/file/54651946/TB-Chapter-30-Bedside-Assessment-and-Electronic-Documentationpdf/ NURSINGTB.COM 15 30 60 Patients input and output chart from the previous shift Patients general appearance Presence of any visitors in the room Perform a bladder scan test. Refer the patient to an urologist. 452 This study resource was shared via CourseHero.comPHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 453 6. During an assessment of a hospitalized patient, the nurse pinches a fold of skin under the clavicle or on the forearm to test the: a. b. c. d. ANS: A Pinching a fold of skin under the clavicle or on the forearm is done by the nurse to determine mobility and turgor. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 7. When assessing the neurologic system of a hospitalized patient during morning rounds, the nurse should include which of these during the assessment? a. Blood pressure NURSINGTB.COM b. c. d. ANS: C Assessment of a patients ability to communicate is part of the neurologic assessment. Blood pressure and pain rating are measurements, and personal hygiene is assessed under general appearance. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 8. When assessing a patients general appearance, the nurse should include which question? a. Is the patients muscle strength equal in both arms? b. c. d. Is ptosis or facial droop present? Does the patient appropriately respond to questions? Are the pupils equal in reaction and size? This study source was downloaded by 100000830034489 from CourseHero.com on 09-11-2021 17:10:20 GMT -05:00 https://www.coursehero.com/file/54651946/TB-Chapter-30-Bedside-Assessment-and-Electronic-Documentationpdf/ NURSINGTB.COM Patients rating of pain on a scale of 1 to 10 Patients ability to communicate Patients personal hygiene level Mobility and turgor. Patients response to pain. Percentage of the patients fat-to-muscle ratio. Presence of edema. This study resource [Show More]

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