Exam 34: Assessment

The nurse is conducting a health history during the nursing assessment.The client states to the nurse,"I am allergic to penicillin." Which assessment question is most appropriate to learn more about the client's allergy?

The nurse is preparing to assess a client who has chronic obstructive pulmonary disease (COPD).The client is currently experiencing difficulty breathing.Before palpating the client's abdomen,which action is appropriate by the nurse?

The nurse is reviewing the medical record for a school-age client prior to a scheduled health maintenance visit.Which data indicates the client is overweight?

The nurse educator is providing information to a group of nursing students regarding appropriate assessment techniques that can be applied across the life span.Which statements will the educator include in the teaching session? Select all that apply.

The nurse is preparing to conduct a physical examination of a client's head and neck area.The client is in a wheelchair due to a C3-C4 spine injury.Which action by the nurse is appropriate when conducting the physical assessment of this area?

An adult client and spouse are seen in an urgent care clinic.The client presents with a temperature of 102°F,complains of nausea,and has experienced vomiting and diarrhea for 12 hours.The nurse notes that the client's mucous membranes are pale and dry.Which action by the nurse is the most appropriate?

The nurse is assessing an older adult client during a routine health maintenance visit.To assess the client's range of motion of the knees,which action by the nurse is appropriate?

The nurse is conducting a physical assessment for a middle-age adult female client during an annual exam.When discussing the importance of diet and exercise,which with the nurse include in the teaching session? Select all that apply.

The nurse in the clinic is assessing an adult client who has 2+ ankle edema,crackles throughout the lung fields,and dyspnea on exertion.Which will the nurse inquire about prior to initiating the client's teaching plan?

An older Spanish-speaking adult client who recently moved to a new city makes an appointment for a routine annual assessment with a new primary care provider.Which action by the nurse is appropriate when conducting the health history?

A client is complaining of pain in the lower-left quadrant of the abdomen.The nurse prepares to percuss the abdomen and notes that the client has a great deal of hair on the lower abdomen.Which action by the nurse is appropriate prior to percussing the client's abdomen?

The nurse is conducting an assessment for an older adult client who experienced a myocardial infarction (MI)a few months ago.The clients states,"I just don't feel like doing much.I feel ok physically but I just don't want to be around anyone." Based on this data,which tool should the nurse use to further assess the client?

The nurse is conducting an assessment on an older adult client who is confused.The client is accompanied to the appointment with an adult child.When collecting data,who can provide primary sources of data during the assessment?

The nurse preparing to assess a toddler-age client ears.Which actions by the nurse are appropriate? Select all that apply.

The nurse is examining a client with congestive heart failure (CHF)who is prescribed propranolol and furosemide.The client complains of fatigue and an inability to finish tasks.Which conclusion by the nurse is the most appropriate?

The nurse is conducting a physical assessment of a middle-age client upon admission to the cardiovascular care unit for cardiopulmonary problems.Which position is likely to be contraindicated for this client?