Exam 8: Health Assessment

A student nurse is working with a patient who has asthma.The primary nurse tells the student that wheezes can be heard on auscultation.The student expects to hear

Which skin condition would cause a nurse to suspect chicken pox?

The general survey begins with a review of the patient's primary health problems and an evaluation of the patient's vital signs,height and weight,general behaviour,and appearance.It also provides information about the patient's illness,hygiene,skin condition,body image,and emotional state.Which of the following cannot be delegated to unregulated care providers (UCP)?

____________ is a yellow-orange skin colour seen with increased deposit of bilirubin in tissues.

While performing a physical examination,the nurse incorporates health promotion by teaching the patient about how to reduce the risk of lung cancer.The nurse explains that besides cigarette smoking,exposure to other substances may lead to this disease.Some of these substances are (Select all that apply.)

The patient is diagnosed with Bell's palsy.The nurse assesses the patient and notices drooping of the patient's right eye and the right side of his mouth.When the functions of the following cranial nerves (CNs)are compared,the most likely cause of these symptoms would be a dysfunction of the

Which of the following is an unexpected finding after a cardiac assessment?

The patient has been immobile at home after having had leg trauma in an automobile accident and is now being admitted with calf pain and localized swelling of the calf muscle.One test that is contraindicated in assessment of this patient is testing for _____________.

The nurse is assessing the neurological status of a patient.She uses the handle end of a reflex hammer to stroke the lateral aspect of the sole of the foot.She notes that the great toe dorsiflexes and the other toes spread out like a fan.What does this indicate?

The patient is noted to have difficulty swallowing.The nurse realizes that the most probable cause of this difficulty is damage to cranial nerve ______.

Which patient position maximizes the nurse's ability to assess the patient's body for symmetry?

The patient has come to the clinic complaining of bleeding from what she calls a "mole" on her neck.She states that her mother died from skin cancer at a fairly early age because she was fair skinned and had a lot of exposure to the sun.The patient admits that she often forgets to wear sunscreen and spends a lot of time outside for work.The nurse prepares to examine the mole while being especially watchful for (Select all that apply.)

The nurse is assessing the patient by grasping a fold of skin on his forearm.She notices that the skin remains suspended for a longer than normal period.What could this indicate?

A nurse is documenting a patient's breath sounds.Fine crackles are heard as

The nurse is visiting the patient for the first time this shift.She introduces herself and asks the patient several questions related to his condition.While doing so,and without being obvious,she is looking at the colour of his eyes and is assessing his ears and nose for discharge and the symmetry of his mouth.Which assessment technique is the nurse using?

What technique should the nurse implement for assessment of the carotid artery?

Petechiae are noted on the patient as a result of the nurse finding

The patient has been in the critical care unit after an acute myocardial infarction 3 days earlier.During an initial assessment of the patient,the nurse detects a heart murmur that the patient did not have previously.The nurse should __________________.

How does a nurse appropriately measure intake and output?

Measurement of the patient's ability to differentiate between sharp and dull sensations over the forehead tests which cranial nerve?