Exam 3: Health History and Physical Examination

As the nurse assesses the client's neck, the client says, "My neck is so stiff I can hardly move it." This client statement indicates the nurse should perform which of the following assessments?

The nurse records the following general survey of a client: "The client is a 68-year-old male Asian accompanied by his wife and two daughters. Alert and oriented. Does not make eye contact with the nurse and responds slowly, but appropriately, to questions.Noapparent disabilities or distinguishing features." Which of the following information should be added to this general survey documentation?

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

While the nurse is taking the health history, a client states, "My father and grandfather both had heart attacks and were unable to be very active afterwards." This statement reflects which of the following functional health patterns?

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

During the health history interview, a client 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?

Immediate surgery is planned for a client with acute abdominal pain. Which of the following questions will elicit the most complete information about the client's coping-stress tolerance pattern?

The nurse is completing a neurological assessment on an adult client. Which of the following assessments should the nurse include when assessing the client's coordination? (Select all that apply.)

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

Anurse is performing a health history and physical examination for a client with right-sided rib fractures. Which of the following data is a pertinent negative finding?

The nurse records the following general survey of a client: "The client is a 68-year-old Indigenous male accompanied 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." Which of the following areas does the nurse need to assess to complete the general survey?

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

An older-adult client who is having difficulty breathing is admitted to the hospital. Which of the following approaches is the best for the nurse to use to obtain a complete health history?

When the nurse is planning for the physical examination of an alert older-adult client, which of the following adaptations to the examination technique should be considered?

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