Exam 3: Health History and Physical Examination

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The nurse records the following general survey of a patient: "The patient is a 50-yr-old Asian female attended by her husband and two daughters. Alert and oriented. Does not make eye contact with the nurse and responds slowly,but appropriately,to questions. No apparent disabilities or distinguishing features." What additional information should the nurse add to this general survey?

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A

When admitting a patient who has just arrived on the unit with a severe headache,what should the nurse do first?

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C

The nurse is preparing to perform a focused assessment for a patient complaining of shortness of breath. Which equipment will be needed?

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B

In what order will the nurse perform these actions when doing a physical assessment for a patient admitted with abdominal pain? (Put a comma and a space between each answer choice [A,B,C,D].)

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When assessing a patient's abdomen during the admission assessment,which action should the nurse take first?

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The nurse plans to complete a physical examination of an alert,older patient. Which adaptations to the examination technique should the nurse include?

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During the health history interview,a patient tells the nurse about periodic fainting spells. Which question by the nurse will best elicit any associated clinical manifestations?

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A patient is seen in the emergency department with severe abdominal pain and hypotension. Which type of assessment should the nurse do at this time?

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While the nurse is taking the health history,a patient states,"My mother and sister both had double mastectomies and were unable to be very active for weeks." Which functional health pattern is represented by this patient's statement?

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Immediate surgery is planned for a patient with acute abdominal pain. Which question by the nurse will elicit the most complete information about the patient's coping-stress tolerance pattern?

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The registered nurse (RN)cares for a patient who was admitted a few hours previously with back pain after falling. Which action can the RN delegate to unlicensed assistive personnel (UAP)?

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The nurse who is assessing an older adult with rectal bleeding asks,"Have you ever had a colonoscopy?" The nurse is performing what type of assessment?

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A nurse performs a health history and physical examination with a patient who has a right leg fracture. Which assessment would be a pertinent negative finding?

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When assessing for formation of a possible blood clot in the lower leg of a patient,which action should the nurse take first?

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A patient who is actively bleeding is admitted to the emergency department. Which approach is best for the nurse to use to obtain a health history?

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