Madonna University

When a client first enters the hospital for an elective surgical procedure, the nurse should perform an assessment termed a) entry. b) comprehensive. c) focused. d) exploratory - Answer B What are nurses able to detect through the health assessment? a) Areas that need referral to a specialist b) Areas that need in-hospital care c) Areas in need of health adjustments d) Areas that need continuous care - Answer C A nurse is conducting a health assessment. How wi...

The nurse is providing care for a 61-year-old female smoker who is 30 kg overweight and was diagnosed with type 2 diabetes several years prior. Which of the following teaching points regarding the prevention of peripheral artery disease (PAD) is most accurate? a) "If you develop swelling in your ankles or feet, then you should seek emergency care." b) "I'll show you how to check your pulses at your groin, knees and feet to monitor your risk of PAD." c) "Quitting smoki...

Hygiene which of the following is not a form of inspection? a.) behavior b.) hygine c.) posture d.) skin texture e.) skin color - Answer d.) skin texture when percussing the abdomen, the sound heard should be...? a.) tympanic b.) resonant c.) flat d.) dull - Answer a.) tympanic which of the following is an example of the background in SBAR? a.) BP 120/80, respiratory rate 12, pulse 88, SpO2 99%, and temperature 97.7 b.) hello, I am calling regarding Ms. Jones in room...

Nurse's role in health assessment - Answer 1. promote health 2. prevent illness 3. treat human responses to health or illness 4. advocate for individuals, families, communities, and populations. OLDCARTS - Answer onset location duration characteristics aggravating/alleviating factors relieving factors timing severity prevention techniques - Answer primary prevention: preventing problems, educating secondary: early diagnosis, screenings tertiary: focuses on ...

objective data - Answer information that is seen, heard, felt, or smelled by an observer; signs subjective data - Answer things a person tells you about that you cannot observe through your senses; symptoms Nursing documentation - Answer SOAP and SBAR SOAP - Answer subjective (what the patient says), objective (what you observe), analysis (diagnosing giving nursing diagnosis), plan (educate the patient and plan) SBAR - Answer Situation: patient's name...

When the nurse assesses a 78-year-old patient with pneumonia, what is the priority assessment? a. Breath sounds b. Airway patency c. Respiratory rate d. Percussion sounds - Answer B A 45-year-old man has been admitted to the hospital with suspicion of pulmonary embolism. Which of the following symptoms should the nurse report to the primary health practitioner immediately? a. Chest pain b. Shortness of breath c. Respirations 20 breaths/min d. Productive cough - Answer a ...

Components of a health assessment - Answer - health history (subjective data) - physical examination (objective data) - documentation of data These are all components of a ____________ Primary source data - Answer subjective data collected directly from the patient Secondary source data - Answer data acquired from another individual (family member) Signs - Answer objective data observed, felt, heard, or measured (ex. rash, enlarged lymph nodes, swelling of ext...

Cartilage - Answer Allows bones to slide over one another, reduces friction, prevents damage, absorbs shock. tendon - Answer Connects muscle to bone ligament - Answer Connect bone to bone to stabilize joints and limit movement bursae - Answer Fluid-filled sacs in areas of friction to cushion bones or ligaments that might rub against each other. meniscus - Answer Cartilage disk between bones to absorb shock and cushion joints. fascia - Answer Fla...

Alcohol is a risk for which of the following cancers? Select all that apply. a. esophageal b. stomach c. colon d. bladder - Answer esophageal colon Which of the following are risk factors for stomach cancer? Select all that apply. a. Blood type A b. age c. tobacco d. alcohol - Answer blood type A age tobacco You inspected your patient's abdomen, what is your next step? a. assess d. palpate c. auscultate d. nothing, you are done - Answer auscultate Acc...

body mass index (BMI) - Answer weight in kg/(height in m squared) underweight - Answer BMI <18.49 normal - Answer BMI 18.5-24.9 overweight - Answer BMI 25-29.9 obesity class I - Answer BMI 30-34.9 obesity class II - Answer BMI 35-39.9 obesity class III - Answer BMI >40 d. iron deficiency - Answer Spooning of the nails is related to: a. anemia b. protein malnutrition c. vitamin deficiency d. iron deficiency c. ina...