NUR 216 (Introduction To Health Assessment ) – Questions
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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Terms in this set (76)
Select the action the PN participates in with Assist the RN with collecting data from the client
the nursing process.
What does HIPAA refer to? Health Insurance Portability and Accountability Act
therapeautic communication involves which Open-ended question, If the client speaks a different
of the following? (Select all that apply) language than the nurse, finding someone in the facility that
speaks their language.
Which of the following techniques is used Use the palmar side of the hands or the pads of the fingers
with palpation?
Which of the following actions by the nurse -Using an alcohol pad to wipe the diaphragm of the
are examples of infection control? (Select stethoscope between clients.
all that apply) -Using an alcohol-based rub when hands are not visibly
soiled.
-Hand washing with soap and water for 15 seconds
Which of the following are tools used with -Stethoscope
auscultation? (Select all that apply.) -Doppler
Place each step of the nursing process in Assessment, Analysis, Planning, Implementation, Evaluation
the correct order.
Place the steps for communicating with -Identify the member by the name and title.
members of the health care team in the -Provide information regarding to the current situation.
correct order. Provide information regarding the background situation.
-Provide suggestions that may be helpful to the situation.
-Give the most recent set of vital signs to the team member.
-Repeat the orders back that are given to you by the provider
Which of the following is the first action Inspecting the client
during the physical assessment of the
client?
If the body is over heating it will Vasodialation
compensate with?
, You are assessing a patient's vital signs. The -am elevated pulse rate
patient has a temperature of 102F (39C). A fever increases metabolic rate and peripheral vasodilation,
Which of the following do you expect to resulting in an increased pulse rate.
find?
When taking an adult patient's temperature insert the probe about an inch and a half into the patient's
rectally, it is important to: anus
You are measuring a patient's temperature in the posterior lingual pocket lateral to the midline.
orally. You place the covered probe:
You have assessed a 45 yr old patient's vital a respiratory rate of 30/min
signs. Which of the following assessment
values requires immediate attention?
When taking a patient's blood pressure, why You might not hear a fifth korotkoff sound
is it important to notice the pressure on the
manometer when you hear the fourth
Korotkoff sound or phase?
To auscultating a patient's apical pulse at the fifth intercostal space at the left midclavicular line.
accurately, you position the bell of the
diaphragm of your stethoscope over the
point of maximal impulse, which is located:
The difference between a patient's systolic the pulse pressure
and diastolic blood pressures is called:
When assessing a patient's respiration, it is have the head of the bed elevated 45 to 60 degrees.
recommended that the patient:
When auscultating a patient's apical pulse, semilunar valves close
you listen until you hear the S1 and S2 heart
sounds clearly and regularly. S2 is produced
when the:
The most important factor in measuring using a cuff of the appropriate size for the patient
blood pressure accurately is:
The best way to determine the depth of a observe the degree of chest-wall movement during inspiration
patient's respiration is to: and expiration.
You are preparing to use a tympanic Gently pulling the pinna back and upward
thermometer. Which of the following steps
has the highest priority in the accurate use
of the piece of equipment for measuring
body temperature?
You are assessing the vital signs of a newly observe the patient's chest movements while appearing to
admitted patient. To establish an accurate assess his pulse
baseline of the patient's respiration, you:
Which of the following accurately describes The difference between heat produced by and lost from the
body temperature? body
Which of the following temperatures is T = 99.6º F (O)
within the normal range for adults and is
documented correctly?
With Guaranteed Solutions
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (76)
Select the action the PN participates in with Assist the RN with collecting data from the client
the nursing process.
What does HIPAA refer to? Health Insurance Portability and Accountability Act
therapeautic communication involves which Open-ended question, If the client speaks a different
of the following? (Select all that apply) language than the nurse, finding someone in the facility that
speaks their language.
Which of the following techniques is used Use the palmar side of the hands or the pads of the fingers
with palpation?
Which of the following actions by the nurse -Using an alcohol pad to wipe the diaphragm of the
are examples of infection control? (Select stethoscope between clients.
all that apply) -Using an alcohol-based rub when hands are not visibly
soiled.
-Hand washing with soap and water for 15 seconds
Which of the following are tools used with -Stethoscope
auscultation? (Select all that apply.) -Doppler
Place each step of the nursing process in Assessment, Analysis, Planning, Implementation, Evaluation
the correct order.
Place the steps for communicating with -Identify the member by the name and title.
members of the health care team in the -Provide information regarding to the current situation.
correct order. Provide information regarding the background situation.
-Provide suggestions that may be helpful to the situation.
-Give the most recent set of vital signs to the team member.
-Repeat the orders back that are given to you by the provider
Which of the following is the first action Inspecting the client
during the physical assessment of the
client?
If the body is over heating it will Vasodialation
compensate with?
, You are assessing a patient's vital signs. The -am elevated pulse rate
patient has a temperature of 102F (39C). A fever increases metabolic rate and peripheral vasodilation,
Which of the following do you expect to resulting in an increased pulse rate.
find?
When taking an adult patient's temperature insert the probe about an inch and a half into the patient's
rectally, it is important to: anus
You are measuring a patient's temperature in the posterior lingual pocket lateral to the midline.
orally. You place the covered probe:
You have assessed a 45 yr old patient's vital a respiratory rate of 30/min
signs. Which of the following assessment
values requires immediate attention?
When taking a patient's blood pressure, why You might not hear a fifth korotkoff sound
is it important to notice the pressure on the
manometer when you hear the fourth
Korotkoff sound or phase?
To auscultating a patient's apical pulse at the fifth intercostal space at the left midclavicular line.
accurately, you position the bell of the
diaphragm of your stethoscope over the
point of maximal impulse, which is located:
The difference between a patient's systolic the pulse pressure
and diastolic blood pressures is called:
When assessing a patient's respiration, it is have the head of the bed elevated 45 to 60 degrees.
recommended that the patient:
When auscultating a patient's apical pulse, semilunar valves close
you listen until you hear the S1 and S2 heart
sounds clearly and regularly. S2 is produced
when the:
The most important factor in measuring using a cuff of the appropriate size for the patient
blood pressure accurately is:
The best way to determine the depth of a observe the degree of chest-wall movement during inspiration
patient's respiration is to: and expiration.
You are preparing to use a tympanic Gently pulling the pinna back and upward
thermometer. Which of the following steps
has the highest priority in the accurate use
of the piece of equipment for measuring
body temperature?
You are assessing the vital signs of a newly observe the patient's chest movements while appearing to
admitted patient. To establish an accurate assess his pulse
baseline of the patient's respiration, you:
Which of the following accurately describes The difference between heat produced by and lost from the
body temperature? body
Which of the following temperatures is T = 99.6º F (O)
within the normal range for adults and is
documented correctly?
