Exam 6: Health Assessment

Increased visibility of oxyhemoglobin caused by dilation or increased blood flow is known as ________________.

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

When performing an assessment of the cardiovascular system, the nurse evaluates the skin and nails of the patient.Inadequate tissue perfusion is known as ______________.

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

Which skin condition would cause a nurse to suspect chickenpox?

The patient is admitted with fever and acute lower abdominal pain.He has taken Tylenol but says he still feels feverish.Before taking the patient's temperature, the nurse may:

Which of the following is an unexpected finding after a cardiac assessment?

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.What might her next step be?

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.)

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.What could this indicate?

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

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:

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

Which of the following may a nursing assistant be responsible for determining?

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

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

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

What should the nurse do when preparing to complete an assessment for a 16-year-old patient?

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 the:

The general survey begins with a review of the patient's primary health problems and an evaluation of the patient's vital signs, height and weight, general behavior, and appearance.It also provides information about the patient's illness, hygiene, skin condition, body image, and emotional state.Which of the following cannot be delegated to nursing assistive personnel?