Exam 13: Physical Assessment

Various techniques are used by the nurse when performing a physical assessment.One of these techniques is percussion.What is percussion used to determine?

The nurse observes that an older adult patient has no hair on the lower legs.The nurse should assess further for the sufficiency of arterial ________.

A health care provider needs to assess a patient's rectal area.In what position should the nurse place the patient?

A health care provider documents that a patient has a sallow complexion.How does the nurse interpret this information?

An unpleasant sensation caused by noxious (extremely destructive or harmful)stimulation of the sensory nerve endings is ___________.

During the nursing interview,several histories are taken.What is the history that involves data concerning habits and lifestyle patterns?

When assessing a patient,the nurse notes that the patient is unable to lie flat to breathe.When the nurse assists the patient into a sitting position,the patient is able to breathe more easily.What should the nurse document that the patient is experiencing?

A patient has discoloration of an area of their mucous membrane caused by extravasation of blood into the subcutaneous tissue.What should the nurse document that the patient has?

During a neurologic assessment,the nurse notes a patient has a unilateral,dilated,and nonreactive pupil.This is a sign that the patient is experiencing pressure on which cranial nerve?

During a physical assessment,the nurse notes a patient passes frequent loose liquid stools.What should the nurse document that the patient is experiencing?

A health care provider needs to assess extension of a patient's hip joint.In what position should the nurse place the patient?

When admitting a patient to the hospital,the nurse notes the patient has mild sunburn.How should the nurse document this finding?

A nursing assessment is a process of collecting data to establish a database.The information contained in the database is a basis for:

A patient has edema of the lower extremities.The nurse is assessing whether it is pitting and to what degree.After pressing the skin against a bony prominence for 5 seconds,the nurse identifies 2+ pitting edema.When did the edema disappear?

What is the suggested sequence for a systematic approach to begin auscultating the thorax?

A circulatory condition in which the myocardium contracts steadily but at a rate of less than 60 contractions per minute is known as _________________.

During a physical assessment,the nurse notes a patient has a loss of strength and energy.What should the nurse document that the patient is experiencing?

What should the nurse begin by assessing when performing a head-to-toe assessment?

When discussing diabetes with a patient,the nurse describes this disease as falling into which group in terms of duration?

A condition in which there is a temporary loss of consciousness associated with an increased rate of respiration,tachycardia,pallor,perspiration,and coolness of the skin is known as _________________.