QueStioNS ANd CorreCt detAiled ANSwerS (Verified ANSwerS)
|AlreAdy GrAded A+|BrANd New VerSioN!!
What are second-level priority problems in nursing assessment? - detAiled ANSwer-
Abnormal lab values.
What behavior should a nurse exhibit during a cultural assessment? - detAiled ANSwer-
Acknowledge your own prejudices that might create barriers to care.
Why is it inappropriate to use a patient's sister as an interpreter during an assessment? -
detAiled ANSwer-The patient may not want the sister to know their private information.
What should a nurse do when noticing a patient handling a charm during an
assessment? - detAiled ANSwer-Ask the patient about the item and its significance.
What should a nurse avoid assuming about patients during cultural assessments? -
detAiled ANSwer-That patients follow cultural beliefs.
What type of data does a physical assessment provide? - detAiled ANSwerObjective
data.
,What type of assessment is being performed when a nurse collects only the most
important information? - detAiled ANSwer-Emergency assessment.
What is a true statement regarding pain and cultural aspects? - detAiled ANSwer-
Patients vary in their perceptions and expressions of pain.
What is the best way for a nurse to assess new memory with a patient? - detAiled
ANSwer-Give him the Four Unrelated Words Test.
What type of pain is due to abnormal processing of pain impulses? - detAiled ANSwer-
Neuropathic pain.
How should a nurse interpret a patient in a tripod position during assessment? -
detAiled ANSwer-Recognize that a tripod position is often used when a patient is
having respiratory difficulties.
What nutrient should a nurse encourage a patient to increase for muscle healing? -
detAiled ANSwer-Protein.
What risk factor for mental illness cannot be changed? - detAiled ANSwer-Age.
What is true about the inspection phase of the physical assessment? - detAiled
ANSwer-It takes time and reveals a surprising amount of information.
What vital sign change should a nurse recognize in older adults? - detAiled ANSwer-
Widening pulse pressure.
, What would a nurse expect to find in a patient with a swollen leg and severe pain after an
accident? - detAiled ANSwer-The blood pressure is elevated.
What does a nurse suspect if a patient cannot differentiate between sharp and dull
stimulation on their face? - detAiled ANSwer-Damage to the trigeminal nerve.
Where is the temporomandibular joint located? - detAiled ANSwer-Just below the
temporal artery and anterior to the tragus.
What might asymmetric palpebral fissures indicate? - detAiled ANSwerDamage to a
cranial nerve.
What is the significance of eupneic respirations in a patient assessment? - detAiled
ANSwer-It indicates normal breathing.
What type of assessment is indicated when a nurse observes eccentric makeup and
clothing? - detAiled ANSwer-Further assessments are needed.
What is the role of critical thinking in assessing vital signs? - detAiled ANSwerIt aids in
developing nursing diagnoses.
What should the initial nutritional screening for a patient with no history of nutrition-
related problems include? - detAiled ANSwer-Measurement of weight and weight
history.
How do acutely infected lymph nodes typically appear? - detAiled ANSwer-Firm and
tender, but freely movable.