assessment chapter 9-latest
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The nurse is performing a general survey. Which action is a component of the general
survey?
a.
Observing the patients body stature and nutritional status
b.
Interpreting the subjective information the patient has reported
c.
Measuring the patients temperature, pulse, respirations, and blood pressure
d.
Observing specific body systems while performing the physical assessment -
CORRECT ANSWERS-A
When measuring a patients weight, the nurse is aware of which of these guidelines?
a.
The patient is always weighed wearing only his or her undergarments.
b.
The type of scale does not matter, as long as the weights are similar from day to day.
c.
The patient may leave on his or her jacket and shoes as long as these are documented
next to the weight.
d.
Attempts should be made to weigh the patient at approximately the same time of day, if
a sequence of weights is necessary. - CORRECT ANSWERS-D
, A patients weekly blood pressure readings for 2 months have ranged between 124/84
mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse
knows that this blood pressure falls within which blood pressure category?
a.
Normal blood pressure
b.
Prehypertension
c.
Stage 1 hypertension
d.
Stage 2 hypertension - CORRECT ANSWERS-B
A patients weekly blood pressure readings for 2 months have ranged between 124/84
mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse
knows that this blood pressure falls within which blood pressure category?
a.
Normal blood pressure
b.
Prehypertension
c.
Stage 1 hypertension
d.
Stage 2 hypertension - CORRECT ANSWERS-A
A 1-month-old infant has a head measurement of 34 cm and has a chest circumference
of 32 cm. Based on the interpretation of these findings, the nurse would:
a.
Refer the infant to a physician for further evaluation.
b.
Consider these findings normal for a 1-month-old infant.
c.
Expect the chest circumference to be greater than the head circumference.
d.
Ask the parent to return in 2 weeks to re-evaluate the head and chest circumferences. -
CORRECT ANSWERS-B
The nurse is assessing an 80-year-old male patient. Which assessment findings would
be considered normal?