Exam 6: Health Assessment

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During assessment of a patient with anemia,a nurse is alert for the presence of:

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A

The patient is 3 days post abdominal surgery.The nurse utilizes her stethoscope to listen for bowel sounds.This assessment technique is known as ______________________.

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auscultation
Auscultation is listening with a stethoscope to sounds produced by the body.

While performing a cardiovascular assessment on a patient with suspected left sided congestive heart failure,the nurse is unable to palpate the PMI with the patient lying supine.Her next step might be to:

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In teaching the patient about prevention of cervical cancer,the nurse teaches the patient about the risk factors for cervical cancer.Risk factors for cervical cancer include which of the following? (Select all that apply.)

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________________ is a major cause of lung cancer,cerebrovascular disease,heart disease,and chronic lung disease.

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A nurse is documenting a patient's breath sounds.Crackles are heard as:

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A student nurse is working with a patient who has asthma.The primary nurse tells the student that wheezes can be heard on auscultation.The student expects to hear:

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Breast self-examination should be done once a month.For women who menstruate,the best time is ______________.

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The patient is diagnosed with Bell's palsy.The nurse assesses the patient and notices drooping of the patient's right eye and the right side of his mouth.When the functions of the following nerves are compared,the most likely cause of these symptoms would be a dysfunction of:

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The patient is admitted to the hospital with a hematocrit of 60%.This level indicates __________________.

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When preparing to complete an assessment for a 16-year-old patient,a nurse should:

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The patient has been in the ICU following an acute myocardial infarction 3 days earlier.During the nurse's initial assessment of the patient,she detects a heart murmur that the patient did not have previously.The nurse should __________________.

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The purpose of the physical assessment is to: (Select all that apply.)

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The nurse is assessing the patient by grasping a fold of skin on his forearm.She notices that the skin remains suspended for a longer than normal period.This could possibly indicate:

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What technique should the nurse implement for assessment of the carotid artery?

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The patient has come to the clinic complaining of bleeding from what she calls a "mole" on her neck.She states that her mother died from skin cancer at a fairly early age because she was fair skinned and had a lot of exposure to the sun.Because of this,the patient has been going for tanning sessions regularly for several years to keep her dark and to protect her from the sun.The nurse prepares to examine the "mole," being especially watchful for: (Select all that apply.)

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Petechiae are noted on the patient as a result of the nurse's finding:

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The nurse is preparing to examine a comatose patient on a ventilator.Before beginning the procedures,she: (Select all that apply.)

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The nurse is examining a patient who she suspects is having right-sided heart failure.Which finding would most strongly support her suspicion?

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How does a nurse appropriately measure intake and output?

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