Exam 29: Communication, history, and Physical Assessment

Which action is most likely to encourage parents to talk about their feelings related to their child's illness?

Which data would be included in a health history (Select all that apply)?

An 8-year-old girl asks the nurse how the blood pressure apparatus works.The most appropriate nursing action is to:

Which parameter correlates best with measurements of the body's total protein stores?

Where is the best place to observe for the presence of petechiae in dark-skinned individuals?

The nurse has just started assessing a young child who is febrile and appears very ill.There is hyperextension of the child's head (opisthotonos)with pain on flexion.The most appropriate action is to:

The nurse is testing an infant's visual acuity.By what age should the infant be able to fix on and follow a target?

What heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood?

The nurse must check vital signs on a 2-year-old boy who is brought to the clinic for his 24-month checkup.Which criteria should the nurse use in determining the appropriate-size blood pressure cuff (Select all that apply)?

The nurse is having difficulty communicating with a hospitalized 6-year-old child.What technique may be most helpful?

The earliest age at which a satisfactory radial pulse can be taken in children is:

The nurse is seeing an adolescent boy and his parents in the clinic for the first time.What should the nurse do first?

What is an important consideration for the nurse who is communicating with a very young child?

Binocularity,the ability to fixate on one visual field with both eyes simultaneously,is normally present by what age?

What type of breath sound is normally heard over the entire surface of the lungs,except for the upper intrascapular area and the area beneath the manubrium?

The nurse is interviewing the mother of an infant.She reports,"I had a difficult delivery,and my baby was born prematurely." This information should be recorded under which heading?

During a routine health assessment,the nurse notes that an 8-month-old infant has significant head lag.Which is the nurse's most appropriate action?

An appropriate approach to performing a physical assessment on a toddler is to:

When introducing hospital equipment to a preschooler who seems afraid,the nurse's approach should be based on which principle?

Kimberly is having a checkup before starting kindergarten.The nurse asks her to do the "finger-to-nose" test.The nurse is testing for: