Exam 16: Health Assessment and Physical Examination

A nurse is preparing to perform a physical examination on a patient who has mobility issues.In preparing for the examination,the nurse should do which of the following?

The nursing student is performing a physical examination on a 6-year-old patient who is being admitted to the pediatric unit with abdominal pain.When would be the most appropriate time in the examination to palpate the patient's abdomen?

An older adult African-American woman has gone to the clinic where a RN volunteers twice a week.She is a diabetic and has some skin breakdown on the calf of her right leg.Her skin is very darkly pigmented.To best examine the patient's skin,the nurse should use which of the following?

A nurse is meeting a patient for the first time.The importance of establishing baseline data is that it will enable the nurse to assess which of the following? (Select all that apply.)

The student nurse has been assigned to the pediatric unit for her clinical training this semester.She is assisting with the admission of a 5-month-old infant admitted with pneumonia.The student nurse is responsible for taking the child's vital signs and weighing and measuring the child.The infant's mother is very concerned when the student nurse tells her that the baby weighs 14 pounds.The mother states that the baby has lost a significant amount of weight because the previous week she weighed 16 pounds at home.What is the student nurse's best response to the mother's concern?

Risk factors for breast cancer in women include which of the following? (Select all that apply.)

On examination of an 18-month-old child,the nurse found the right eardrum pink and bulging.How should a normal eardrum appear?

A 47-year-old patient is being treated for hyperthyroidism.When she goes to the health care provider for a check-up,the nurse in the clinic expects to see which of the following physical symptoms?

The nurse is caring for a 22-year-old woman who has come in for a routine examination.The patient asks about how often she should perform breast self-examinations and get a mammogram.The nurse should inform the patient of which of the following?

A registered nurse is preparing to perform a physical examination on a 5-year-old child.To make the child feel safer during the examination the nurse should do which of the following?

While auscultating a patient with pneumonia,a nurse hears low-pitched,rumbling coarse sounds during inspiration and expiration.These sounds can best be described as which of the following?

A 45-year-old gay man who lives with a partner of 19 years recently has developed a persistent cough and night sweats from which he wakes up soaked.The nurse who is caring for the man should be most concerned about which of the following conditions?

A student nurse is helping admit a 77-year-old man to the surgical floor of an acute care hospital.The patient has an abdominal tumor that is scheduled to be removed.He has had nothing by mouth (NPO)since midnight in preparation for his surgery.The student nurse notes that the patient's skin is very dry and scaly.Which of the following should the student nurse investigate further as the most likely cause for the patient's dry skin?

A nurse can best auscultate the point of maximum impulse (PMI)in a teenager at the _____ intercostal space,_____ midclavicular line.

A patient is admitted from the emergency department.The nurse notices that the patient and family are anxious.During the admission process the nurse should do which of the following? (Select all that apply.)

An RN is assessing an 87-year-old patient who has gone to the clinic to see the health care provider for a follow-up appointment.The nurse notes that the patient looks tired and has dark circles under her eyes.She assesses her skin turgor,which is poor.She is concerned because she knows that poor skin turgor can predispose the patient to which of the following?

A 17 year old was taken to the emergency department when his mother found him unresponsive.Upon examination,his pupils were found to be pinpoints.This is a common sign of which of the following?

A patient is complaining of nonspecific abdominal pain.What is the technique the nurse uses to assess tenderness?

An adolescent is examined and told that she has a sexually transmitted disease (STI).The patient is shocked and states,"How can that be.I would know if I had a problem down there wouldn't I?" What is the most appropriate response by the nurse?

At a point during the admission process of a young female patient,the nurse asks the patient about whether or not she performs self-breast examinations.The patient asks about the best time of the month to perform this examination.What is the best response?