Exam 16: Health Assessment and Physical Examination

The nurse hears a distinctive swooshing sound with each heartbeat when auscultating the patient's heart sounds.What is the cause of this assessment finding?

Which question will the nurse ask the patient to assess abstract thinking ability?

How can the nurse most accurately assess the skin tone for an older adult African American patient with deeply pigmented skin?

The patient's pupils are the size of tiny pinpoints.Which factor could lead to this assessment finding?

Which assessment finding is expected for a patient presenting with a middle ear infection?

Which assessment finding will the nurse expect to note during physical examination of the patient with a history of uncontrolled hyperthyroid disease?

The nurse notes that the patient has bilateral entropion.What will the nurse plan to do as a result of this assessment finding?

The patient has red,itchy eyes with thick yellow drainage.What will the nurse plan to do as a result of this assessment finding?

The nurse is caring for a dehydrated,confused patient whose breath smells like fruity bubble gum.What is the priority action of the nurse based on these assessment findings?

The nurse notes that the patient has hyperactive bowel sounds in all four quadrants of the abdomen.Which factor from the patient's history will account for this assessment finding?

The nurse hears a blowing sound when auscultating the patient's carotid artery.What is the appropriate action of the nurse?

While auscultating a patient with pneumonia,a nurse hears low-pitched,rumbling coarse sounds during inspiration and expiration.Which term will the nurse use to document this assessment finding?

Why does the nurse utilize a head-to-toe approach when performing physical examinations of patients?

The mother of a small infant is surprised when the clinic scale indicates a 1-pound weight gain from the scale used that morning at home.What is the appropriate response of the nurse?

The nurse is assessing a patient with suspicious bruises.Which action is most appropriate to facilitate an accurate account of the patient's injuries?

Which positions may be used to perform a rectal examination on the patient?

Which characteristics helped promote the development of the patient's tortuous varicose veins

The patient has cloudy yellow urine with a faint odor of ammonia.Which laboratory test will the nurse expect to note in the patient's admission orders?

Which technique will the nurse use to facilitate the history and physical examination of a small child?

Which assessment finding is expected for a patient who may have a lower extremity deep vein thrombosis (DVT)?