HESI 1 - V1 and V2 REVIEW - Health Assessment 1 with Answers graded A+

The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? - Barrel chest The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the right upper quadrant. What action should the nurse take next? - Note the character and frequency of bowel sounds During inspection of a client's mouth and pharynx, the nurse places a tongue blade on the back of the tongue which causes the client to gag. After removing the tongue blade, what action should the nurse take? - Document an intact gag reflex. When teaching a client how to perform a monthly breast self-assessment, the nurse should tell the client that it is most important to assess which part of the breast more closely for changes? - Upper outer quadrant. The nurse is assessing a postmenopausal client who has a BMI of 32. The client has a chest measurement of 42 inches, waist measurement of 45 inches, and hip measurement of 50 inches. What important message should the nurse explain to the client to promote health promotion? - A waist circumference is greater than 35 inches in women puts you at higher risk for type 2 diabetes and heart disease." The nurse performs a physical assessment on an older female client. Which change from the prior exam may be an indication of osteoporosis? - Height reduction of 1.5 inches. While conducting an interview to obtain a health history, the nurse notices that the client pauses frequently and looks at the nurse expectantly. Which response is best for the nurse to provide? - Sit quietly to allow the client to respond comfortably. A client is in the clinical for a yearly physical examination. Which action should the nurse take when preparing to examine the client's abdomen? - Ask the client to urinate before beginning the examination. Which respiratory condition should the nurse document after measuring a respiratory rate of 8 breaths/minute? - Bradypnea. Which procedure should the nurse use to assessfor a pulse deficit? - Measure the apical pulse and compare it to the peripheral pulse. *A pulse deficit is a palpable difference between the apical pulse at the point of maximal impulse and the radial pulse palpated at the wrist.