Exam 24: Adapting Health Assessment to the Hospitalized Patient

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How does a nurse assess perfusion to the foot when a patient has a cast from the left middle calf to the toes?

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D

During the assessment, the nurse determines that the patient's Glasgow Coma Scale score is 15. What is the meaning of this number for this patient?

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A

Which patient using respiratory equipment requires skin assessment? (Select all that apply.)

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A, B, D

Which tube interferes with hearing lung sounds during auscultation? (Select all that apply.)

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A nurse uses the Glasgow Coma Scale to assess which patient?

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For which patient does the nurse make assessment of the oral mucous membrane a priority?

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What data do nurses collect when assessing a patient's wound? (Select all that apply.)

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Development of which complication is considered a never event?

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When performing a neurologic assessment of a male patient, a nurse discovers that shouting and shaking are necessary to arouse the patient enough to assess his neurologic status. After the patient answers questions about who he is and squeezes the nurse's hand as requested, he returns to "sleep." How does the nurse document this patient's level of consciousness?

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