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ADVANCED HEALTH ASSESSMENT MED SURGIII

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Which action should the registered nurse (RN) implement to complete an assessment for a client while using an interpreter? Ask closed-ended questions with the assistance of the interpreter. Maintain eye contact with the client while listening to the translation. Instruct interpreter to answer questions from interpreter's point of view. Protect the client's privacy by asking a limited number of questions. Rationale When completing an assessment, the RN should maintain eye contact with the client to gather additional

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Health Assessment Practice Exam


Med Surg III (Gurnick Academy)




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ADVANCED HEALTH
ASSESSMENT MED SURGIII
Practice Test Assessment Performance

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Which action should the registered nurse (RN) implement to complete
an assessment for a client while using an interpreter?
Ask closed-ended questions with the assistance of the interpreter.

Maintain eye contact with the client while listening to the translation.

Instruct interpreter to answer questions from interpreter's point of view.

Protect the client's privacy by asking a limited number of questions.


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Rationale
When completing an assessment, the RN should maintain eye contact with the client to gather
additional information from the client's nonverbal cues.




The registered nurse (RN) is interviewing a female client who states she
has a persistent productive cough during the winter caused by
bronchitis. Which additional finding should the RN assess for bronchitis?
Phlegm production and wheezing.

Smoking history.

Hemoptysis.

Night sweats.

Rationale
A chronic seasonal cough related to bronchitis is likely accompanied withphlegm production and
wheezing. Although smoking can contribute to a chronic cough, the typical seasonal cough is an
inflammatory reaction to seasonal changes.




The registered nurse (RN) is teaching a client who is newly diagnosed
with emphysema how to perform pursed lip breathing. What is the
primary reason for teaching the client this method of breathing?
Decreases respiratory rate.

Increases O2 saturation throughout the body.

Conserves energy while ambulating.

Promotes CO2 elimination.

Rationale
Pursed lip breathing helps eliminate CO2 by increasing positive pressure within the alveoli increasing the
surface area of the alveoli making it easier for the O 2 and CO2 gas exchange to occur .


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