NCLEX practice: The nurse in charge is assessing a patient’s abdomen. Which examination technique should the nurse use first? A. Auscultation B. Inspection C. Percussion D. Palpation
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The nurse in charge is assessing a patient’s abdomen. Which examination technique should the nurse use first?
A. Auscultation
B. Inspection
C. Percussion
D. Palpation
Step by step
Solved in 4 steps
- On family assessment, the patient's family members show: critical, hostile, and over involving behavior towards the patient. The nurse would anticipate that the family is showing which type of attitude? Answer Choices: a. Adequate support system b. Expressed emotions c. Care and concern towards patient d. Judgmental attitude towards patientIn completing a focused assessment of a client who has completed treatment for Herpes zoster (shingles), what assessment data is most important for the practical nurse to obtain? A Pain scale. B Capillary refill. C Joint mobility. D Urine color.When completing a safety event report, the nurse should:a. Include suggestions on how to prevent the incident fromrecurring.b. Provide minimal information about the incident.c. Discuss the details with the patient before documentingthem.d. Objectively describe the incident in detail.
- A nurse is completing an intial assessment of newly admitted client and is applying the ursing process to plan the client's care. What principle should the nurse apply when using the nursing process. A.it is ongoing and continuous B.each step is independent of the others C.It is used primarily in acute care setting D.It involves independent in nursing actionsTo add to the comprehensive assessment data, it is important for the nurse toconduct a medical records review for which of the following purposes? a. To compare subjective data with the nurse's actual observations b. To relate the past health care history of the patient to the present episode c. To validate whether the data gathered is accurate and factual d. To clarify any vague statement made by the clientBeing prepared is a key factor in conducting a competent health assessment. The nurse must display well-developed cognitive, interpersonal, technical, and ethical skills. Describe what you would do to prepare the patient, the room, and the environment for an examination. How and why would you modify these preparations for the following patients? a. A patient who is comatose b. A patient who is uncooperative c. A patient who does not understand your language d. A small child
- A nurse is preparing an infant and his family for a herniarepair to be performed in an ambulatory care facility.What is the primary role of the nurse during the admissionprocess?a. Assist with screening tests.b. Provide patient teaching.c. Assess what has been done and what still needs to be done.d. Assist with hernia repair.Which of the following should be the basis of the nurse in considering that a problem is easily modifiable? A. Health paraphernalia of the nurse B. Exposure of high-risk member of the family C. Physical appearance of the head of the family D. Progress of the diseaseThe nurse has completed an initial assessment of a newly admitted client and is applying the nursing process to plan the client's care. What principle should the nurse apply when using the nursing process? A. Each step is independent of the others. B. It is ongoing and continuous. C. It is used primarily in acute care settings D. It involves independent nursing actionsr
- To prevent the incidence of the development of a DVT for a patient after orthopedic surgery, which of the following interventions would the nurse employ? (SATA) A. Maintain strict bed rest with bathroom privileges only. B. Increase oral fluids C. Administer anticoagulant medications as ordered D. Ensure sequential compression devices are in use when patient is non-ambulatory E. Minimize flexing of the lower extremity without a physical therapist presentThe nurse should include which of the following statements when providing education to the parents of a child who has had a bone marrow aspirate procedure? Select one: a - Your child should not sit for prolonged geriods of time: b. • Your child can take a shower, if desired: c. You should restrict your child's activity to quiet play for the next 12 hours. O d. • You should not give your child a tub bath for 24 hours.A nurse is assessing a client immediately following a lumbar puncture. Which of the following findings should the nurse report to the provider?1. Client reports a need to void2. Client requests oral fluids3. Client requests to ambulate4. Client reports feeling nauseated
