Health Assessment in Nursing, Chapter 3
questions well answered
1. The nurse is preparing
Dispose of tissues directly into trash cans
client teaching for an
adult admit- ted to the Clients and other people with symptoms of a
hospital with bilater- al respiratory in- fection are asked to cover their
pneumonia. What should the mouths/noses when cough- ing or sneezing, but not
nurse know to include in covering the nose and mouth with their hands.
this client teaching? Additionally, clients should dispose of tissues
directly into trash cans and perform hand hygiene
after hands have been in contact with respiratory
secretions. The nurse does not teach to use hands
to cover the face when sneezing or coughing—the
client should instead cough or sneeze into a sleeve.
Washing hands before coming into contact with
another person is not part of client teaching for a
person with pneumonia. Taking medicine when you
2. After the physical cannot stop coughing does not answer the
examination of a client, a question.
nurse disposes of the used
Application of an antiseptic handrub
gloves. The nurse has not
The nurse could apply an antiseptic handrub if the
come in contact with any
hands do not appear to be soiled. If during the
examination the nurse's hands are soiled due to
contact with any body fluids
body fluids or excretion, mucous or excretion, mucous membranes, non-intact
skin, or wound
membranes, non-intact skin, dressings, the nurse would be required to hand
or wound dressings. The wash with nonantimicrobial soap and water, or
nurse's hands do not antiseptic soap.
appear to be vis- ibly
soiled. What hand
hygiene should the nurse
perform?
,Health Assessment in Nursing, Chapter 3
questions well answered
3. A nurse recognizes that it is best Measure the client's vital signs, height, and
weight
to begin the objective data col-
lection with which It is important to begin the assessment with less
procedure? intrusive procedures such as vital signs and height
& weight. These nonthreatening/nonintrusive
procedures allow the client to feel more
comfortable with the nurse and ease anxiety. Once
, Health Assessment in Nursing, Chapter 3
questions well answered
should the nurse do before
conduct- ing a physical
examination of a client? (Select
all that apply.)
4. In which order should a
nurse implement the four
physical as- sessment
techniques when initi- ating
a health assessment?
5. The client is in a standing
posi- tion. Which of the
following can the nurse
most effectively as- sess
with the client in this posi-
tion?
6. What action by a nurse
demon- strates the correct
technique when using a
stethoscope for
auscultation?
7. Which of the following
questions well answered
1. The nurse is preparing
Dispose of tissues directly into trash cans
client teaching for an
adult admit- ted to the Clients and other people with symptoms of a
hospital with bilater- al respiratory in- fection are asked to cover their
pneumonia. What should the mouths/noses when cough- ing or sneezing, but not
nurse know to include in covering the nose and mouth with their hands.
this client teaching? Additionally, clients should dispose of tissues
directly into trash cans and perform hand hygiene
after hands have been in contact with respiratory
secretions. The nurse does not teach to use hands
to cover the face when sneezing or coughing—the
client should instead cough or sneeze into a sleeve.
Washing hands before coming into contact with
another person is not part of client teaching for a
person with pneumonia. Taking medicine when you
2. After the physical cannot stop coughing does not answer the
examination of a client, a question.
nurse disposes of the used
Application of an antiseptic handrub
gloves. The nurse has not
The nurse could apply an antiseptic handrub if the
come in contact with any
hands do not appear to be soiled. If during the
examination the nurse's hands are soiled due to
contact with any body fluids
body fluids or excretion, mucous or excretion, mucous membranes, non-intact
skin, or wound
membranes, non-intact skin, dressings, the nurse would be required to hand
or wound dressings. The wash with nonantimicrobial soap and water, or
nurse's hands do not antiseptic soap.
appear to be vis- ibly
soiled. What hand
hygiene should the nurse
perform?
,Health Assessment in Nursing, Chapter 3
questions well answered
3. A nurse recognizes that it is best Measure the client's vital signs, height, and
weight
to begin the objective data col-
lection with which It is important to begin the assessment with less
procedure? intrusive procedures such as vital signs and height
& weight. These nonthreatening/nonintrusive
procedures allow the client to feel more
comfortable with the nurse and ease anxiety. Once
, Health Assessment in Nursing, Chapter 3
questions well answered
should the nurse do before
conduct- ing a physical
examination of a client? (Select
all that apply.)
4. In which order should a
nurse implement the four
physical as- sessment
techniques when initi- ating
a health assessment?
5. The client is in a standing
posi- tion. Which of the
following can the nurse
most effectively as- sess
with the client in this posi-
tion?
6. What action by a nurse
demon- strates the correct
technique when using a
stethoscope for
auscultation?
7. Which of the following
