Exam 3: Health History and Physical Examination

The nurse is preparing to perform a focused abdominal assessment for a patient who has high-pitched bowel sounds. Which equipment will be needed?

While the nurse is taking the health history, a patient states, "My father and grandfather both had heart attacks and were unable to be very active afterwards." This statement is related to the functional health pattern of

A patient who is having difficulty breathing is admitted to the hospital. The best approach for the nurse to use to obtain a complete health history is to

When caring for a patient who was admitted a few hours previously with nausea and vomiting, which nursing action can the RN delegate to an LPN/LVN?

When the nurse is planning for the physical examination of an alert 86-year-old patient, adaptations to the examination technique should include

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

As the nurse assesses the patient's neck, the patient says, "My neck is so stiff I can hardly move it." This finding indicates the nurse should perform a(n)

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

The nurse records the following general survey of a patient: "The patient is a 68-year-old male Asian attended by his wife 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." Additional information that should be added to this general survey includes

During the health history interview, a patient tells the nurse about periodic fainting spells. Which question by the nurse will be most helpful in determining the setting in which the fainting spells occur?

When assessing the circulation to the lower leg of a patient who has had knee surgery, which action should the nurse take first?

A nurse is performing a health history and physical examination for a patient with right-sided rib fractures. The pertinent negative finding is that the patient

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

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