When performing an abdominal assessment, the nurse uses a different order of techniques than with other systems. Which of the following represents this order Question 2: (see... full question) The nurse in post-anesthesia recovery (PAR) is caring for a 27- year-old client following an appendectomy. Twenty minutes after receiving 4 mg of intravenous (IV) morphine for abdominal pain, the client continues to report abdominal discomfort and requests more morphine. Which action by the nurse is best? Question 3: (see full question) The nurse will obtain the greatest amount of information about the thyroid gland by using which technique of assessment? Question 4: (see full question) The nurse is asking admission interview questions and the client has explained the reason for seeking care. Which of the following is the most appropriate way to document the response? E Chapter 25: Health Assessment - Page 628 Question 5: (see full question) The nurse in the emergency department observes a client experiencing a generalized tonic–clonic seizure. What is the priority intervention for the nurse to take? Chapter 25: Health Assessment - Page 625 Question 6: (see full question) The nurse is caring for a client who just informed her that he noticed some blood in the toilet after a bowel movement. The nurse Chapter 25: Health Assessment - Page 641 Reference: Taylor, C. R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 25: Health Assessment, p. 654, Box 25-5. Chapter 25: Health Assessment - Page 654 Question 7: (see full question) The nurse is auscultating an apical pulse on a 39-year-old client admitted with pneumonia. In counting the apical pulse, the nurse recognizes which characteristic about heart sounds? Question 8: (see full question) Which assessment measure would the nurse use to assess the location, shape, size, and density of a tumor? You Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters Kluwer Health, 2015, Chapter 25, Health Assessment, p. 635 Question 9: (see full question) The nurse is palpating the skin of a 30-year old patient and documents that when picked up in a fold, the skin fold slowly returns to normal. What would be the next action of the nurse based on this finding? Correct Explanation Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters Kluwer Health, 2015, Chapter 25, Health Assessment, p. 639 Question 10: (see full question) The nurse is using a bed scale to weigh a patient, and the patient becomes agitated as the sling rises in the air. What would be the priority nursing intervention in this situation? ..........................................................................................continued........................................................................................ [Show More]
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