Exam 6: Health Assessment

Which of the following may a nursing assistive personnel (NAP)be responsible for determining?

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?

The nurse is providing health education to a group of adolescent females.The topic is "Preventing Skin Cancer." As part of the health promotion education,the nurse recommends that they avoid tanning under direct sun at midday and avoid _________________.

The female nurse is preparing to assess and possibly change a scrotal dressing on a 34-year-old patient.Before changing the dressing,she should ______________.

How should the nurse document an exaggeration of the posterior curvature of the thoracic spine found during the assessment of a 90-year-old patient?

The nurse is preparing to examine a patient who has chronic lung disease.She realizes that the patient most likely will need to be in which position for the examination?

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" while being especially watchful for:

____________ is a yellow-orange skin color seen with increased deposit of bilirubin in tissues.

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 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?

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

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 nurse is assessing the neurological status of a patient.She uses the handle end of a reflex hammer to stroke the lateral aspect of the sole of the foot.She notes that the great toe dorsiflexes and the other toes spread out like a fan.What does this indicate?

Which technique is most appropriate for a nurse to implement during the assessment of the abdomen?

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

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

How does a nurse appropriately measure intake and output?

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:

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