- Study guides, Class notes & Summaries

The nurse hears bilateral louder, longer, and lower tones when percussing over the lungs of a 4-year old child. What should the nurse do next? a) Palpate over the area for increased pain and tenderness. b) Ask the child to take shallow breaths and percuss over the area again. c) Refer the child immediately because of an increased amount of air in the lungs. d) Consider this a normal finding for a child this age and proceed with the examination. d) Consider this a normal finding for a child ...

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22 pages

Written in 2022/2023

Grade A+

Dants

Objective. During the interview portio of the health assessment, a nurse notes the person's posture, physical appearance, and ability to converse. How should the nurse document these findings? A round smooth mass that slides between the fingers As a part of a routine health assessment, the nurse assesses the kidneys as part of the abdominal assessment. Which assessment finding should the nurse conclude is normal when palpating the client's right kidney? Upper outer quadrant. W...

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7 pages

Written in 2022/2023

Grade A+

Dants

What is the nursing process? Assessment Diagnosis Planning Implementation Evaluation What are the four types of ways to collect data? -complete health data base -episodic or problem-centered database -follow up database -emergency data base What is the difference between subjective and objective data? -subjective: what the pt says. -objective: what you observe as the nurse. What is a normal pulse for geriatric patients? 50-90 bpm Male Bladder Evaluation -...

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29 pages

Written in 2022/2023

Grade A+

Dants

A nurse conducting a physical assessment is observing the client's balance and performing tests to determine the client's sense of equilibrium. Which cranial nerve is the nurse assessing? 1. Cranial nerve II 2. Cranial nerve IX 3. Cranial nerve VII 4. Cranial nerve VIII 4. Cranial nerve VIII Cranial nerve VIII is the acoustic nerve. Hearing tests are performed to assess the cochlear portion of this nerve. Tests to assess equilibrium, such as observation of the client's balance when ...

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42 pages

Written in 2022/2023

Grade A+

Dants

B. Denial The spouse is exhibiting the first stage of denial (B) of Kubler-Ross's grief model by ignoring that the client's death is imminent (A, C, and D) are stages of grief that are not being displayed by the client's spouse during this observation. The registered nurse (RN) notifies the spouse of a client who was admitted to hospice with shallow respirations, of a change in the client's condition. Over the past hour, the client's respiratory pattern has changed to a Cheyne Stokes patt...

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36 pages

Written in 2022/2023

Grade A+

Dants

•1. The nurse plans to auscultate the carotid arteries for bruits. Which of the following is the correct technique? •A. Places two fingers on the left carotid pulse, base of the neck •B. Places the diaphragm of the stethoscope on the location, mid-cervical area •C. Places the bell of the stethoscope slightly below the angle of the jaw •D. Places two finger on the right carotid area, mid-scapular area C. Places the bell of the stethoscope slightly below the angle of the jaw ...

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23 pages

Written in 2022/2023

Grade A+

Dants

5. The nurse is interviewing a patient who has a hearing impairment. What techniques would be most beneficial in communicating with this patient? A) Determine the communication method he prefers. B) Avoid using facial and hand gestures because most hearing-impaired people find this degrading. C) Request a sign language interpreter before meeting with him to help facilitate the communication. D) Speak loudly and with exaggerated facial movement when talking with him because this helps with ...

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30 pages

Written in 2022/2023

Grade A+

Dants

"My life is really out of balance." A client is reporting chest pain. What statement made by the client, helps the nurse to understand this client has a naturalistic belief in the cause of illness? Be open to people who are different Have a curiosity about people. Become culturally competent. 2. A nurse is working in a healthcare facility that serves a diverse population. What action(s) by the nurse will allow the nurse to empathize with and understand this population? (Select all t...

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7 pages

Written in 2022/2023

Grade A+

Dants

The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health. Which interventions are appropriate? Select all that apply. A.Set the room temperature at a comfortable level. B.Remove distracting objects from the interviewing area. C.Place a chair for the client across from the nurse's desk. D.Ensure comfortable seating at eye level for the client and nurse. E.Provide seating for the so that the faces a s...

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54 pages

Written in 2022/2023

Grade A+

Dants

While measuring a patient's blood pressure, which set of Korotkoff sounds should be recorded as systolic and diastolic pressure? 1 Phase III/phase V 2 Phase I/phase V 3 Phase II/phase III 4 Phase I/phase IV 2 What should the nurse document as a normal finding when auscultating a toddler's chest for breath sounds? 1 Bronchovesicular breath sounds in the peripheral lung fields 2 Persistent peristaltic sounds with diminished breath sounds 3 Persistent fine crackles that are ...

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103 pages

Written in 2022/2023

Grade A+

Dants

The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? Barrel chest The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the right upper quadrant. What action should the nurse take next? Note the character and frequency of bowel sounds During inspection of a client's mouth and pharynx, the nurse places a tongue blade on the back ...

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13 pages

Written in 2022/2023

Grade A+

Dants

1. For which of the following patients would a comprehensive health history be appropriate? A) A new patient with the chief complaint of "I sprained my ankle" B) An established patient with the chief complaint of "I have an upper respiratory infection" C) A new patient with the chief complaint of "I am here to establish care" D) A new patient with the chief complaint of "I cut my hand" c) a new patient with the CC of "I am here to establish care" the patient is new to the pro...

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39 pages

Written in 2022/2023

Grade A+

Dants

A client is reporting chest pain. What statement made by the client helps the nurse to understand the client has a naturalistic belief in the cause of illness? A. "My life is really out of balance." B. "I knew I should have changed my diet." C. "I should have gone to church last week." D. "I forgot to take my medicines last night." A. "My life is really out of balance." A nurse is working in a healthcare facility that serves a diverse population. What action(s) by the nur...

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15 pages

Written in 2022/2023

Grade A+

Dants

1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking? A) Note-taking may impede the nurse's observation of the patient's nonverbal behaviors. B) Note-taking allows the patient to continue at his or her own pace as the nurse records what is said. C) Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level. D) Note-taking allows the nurse to break...

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58 pages

Written in 2022/2023

Grade A+

Dants

The nurse is performing a neurological assessment on a client and notes a positive Romberg's test. The nurse makes this determination based on which observation? An involuntary rhythmic, rapid, twitching of the eyeballs A dorsiflexion of the great toe with fanning of the other toes A significant sway when the client stands erect with feet together, arms at the side, and the eyes closed A lack of normal sense of position when the client is unable to return extended fingers to a point of re...

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24 pages

Written in 2022/2023

Grade A+

Dants

A 59 year old patients tells the nurse practitioner that he thinks he must have ulcerative colitis. He has been having "black stools" for the last 24 hours. How would the nurse practitioner best document THE FACTS for his reason for seeking care? A) JM is a 59 year old male here for having "black stools" for the past 24 hours. B) JM came into the clinic complaining of black stools for the past 24 hours. C) JM is a 59 year old male here for "ulcerative colitis." D) JM, a 59 year old mal...

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38 pages

Written in 2022/2023

Grade A+

Dants

Your middle-aged patient has a BMI of 29. You would tell him that... Hyperlipidemia & weight gain are a problem He is at risk for CAD & DM You realize that as an Advanced Practice Nurse you must ask questions regarding sensitive topics. To be most effective you employ the basic principles that guide responses to sensitive topics. All of these are important which is the most... Be nonjudgmental Susie Lee presents for a checkup to your office. You have not seen her before but she ...

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9 pages

Written in 2022/2023

Grade A+

Dants

NR 305 Assessment Quiz 60 Questions and Answers Exam (elaborations) A GRADED Updated 2023/2024

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30 pages

Written in 2022/2023

Grade A+

johnwachi22

NR 305 Week 1 Discussion Healthy People Initiative (graded) The topic this week asks you to apply what you have learned to the following case study. As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conduc...

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65 pages

Written in 2022/2023

Grade A+

StuviaNurse

NR 305 Week 4 Discussion, Community Access to mental Health Services Week 4: Community Access to Mental Health Services  Conduct a web search to identify health care services within your community aimed specifically at addressing this condition. Choose one: Depression, Suicidal ideation, Opioid addiction Answer the following questions in your post: 1. When reviewing a client's health history and physical examination record, what are some findings (subjective and objective) that may ...

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1 pages

Written in 2022/2023

Grade A+

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