Exam 26: Assessment

When performing a client's nursing health history,the nurse should place the primary focus on which areas?

In which sequence should the nurse perform a client's abdominal assessment to obtain the MOST accurate data?

Height and weight measurements are essential at every health care visit for clients in all age groups because these measurements:

The MOST appropriate time for a nurse to complete the initial nursing assessment of a client admitted to a health care facility is:

In developing a nursing plan of care for a client who has a venous access device,which of these notations is essential to include?

Which of these concepts is MOST important for a nurse to use throughout the physical assessment of a client?

The nurse is preparing a client with inflamed hemorrhoids for a rectal examination by the health care provider.In which position should the client be placed?

When the skin of the anterior chest stays pinched for a few seconds during a client's admission assessment,how should this finding be documented?

A mother called the physician's office,reporting that her son had a temperature of 102.6 degrees Fahrenheit.The nurse is to record the information as a Celsius temperature.What should the nurse document?

When performing a client's breast assessment,the nurse notes all of these findings.Which one indicates something is abnormal?

A client is admitted with third-degree burns over the front and back upper half of the body.When conducting a nursing physical examination of the client,the nurse must assess blood pressure at which artery?

When assessing a client's breath sounds,the nurse hears high-pitched,whistling sounds during both inhalation and exhalation.These breath sounds are called:

A client is grimacing and with fists clenched states,"I'm in excruciating pain." Which of these entries indicates correct documentation of the client's affect?

Which of these respiratory assessments would be normal for a 24-year-old client?

When completing a health history on a client,the nurse needs to include which of the following? (Select all that apply. )

When assessing a client's abdomen,a nurse notes pain when depressing and releasing fingertip pressure in the right lower quadrant.How should this finding be documented?

When assessing the client's abdomen,a nurse hears high-pitched,loud,and rushing sounds with and without a stethoscope.These sounds are called:

An 84-year-old male client is admitted for severe dyspnea.Which nursing intervention should the nurse perform initially?

The nurse is preparing to assess a client's carotid pulse.Which of these techniques would be MOST appropriate to use?