test bank for health assessment in nursing 6th edition by weber--A+ Best score
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Course
NURSING 101
Institution
Oxford Brookes University
A nurse has completed the general survey of a client who has been transferred to the
unit. The information gathered during the general survey primarily provides the nurse
with which of the following? Select all that apply.
A) An indication of the level of physical distress experienced by the cli...
TEST BANK FOR HEALTH ASSESSMENT IN NURSING 6TH EDITION BY WEBER
1. A nurse has completed the general survey of a client who has been transferred to the
unit. The information gathered during the general survey primarily provides the nurse
with which of the following? Select all that apply.
A) An indication of the level of physical distress experienced by the client
B) Clues about the overall health of the client
C) A direct link to the client's medical diagnosis
D) Indications about normal variations in the status of body systems
E) Data relating to the patient's level of social support
2. A nurse is preparing to assess an adult client's body temperature. At which time of the
day would the nurse expect to obtain the lowest body temperature?
A) Early morning
B) Early afternoon
C) Late afternoon
D) Late evening
3. The nurse is preparing to assess a client's vital signs. Which vital sign should the nurse
assess first?
A) Temperature
B) Pulse
C) Respiration
D) Blood pressure N
4. A nurse is reviewing a colleague's documentation of a client assessment. The nurse
reads that the client's radial pulse was 2+. How should the nurse interpret this
assessment finding?
A) The client's radial pulse occluded easily.
B) The client's radial pulse occluded with moderate pressure.
C) The client's radial pulse occluded with very firm pressure.
D) The client's radial pulse could not be manually occluded.
5. The nurse is conducting an assessment of an older adult client who has a diagnosis of
chronic heart failure. How can the nurse best assess the effects of the client's stroke
volume?
A) Take the blood pressure while the client is standing.
B) Measure the strength of the radial pulse.
C) Add the radial pulse and the systolic blood pressure.
D) Calculate the difference between the diastolic and systolic pressures.
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, TEST BANK FOR HEALTH ASSESSMENT IN NURSING 6TH EDITION BY WEBER
6. A nurse obtains the blood pressure of a client who is uncharacteristically fatigued and
who is lying in bed rather than sitting in a chair. The nurse should interpret the client's
blood pressure reading in light of what principle?
A) The client's blood pressure will be slightly highly than the client's norm.
B) Position rarely affects the client's blood pressure.
C) The client's blood pressure will be slightly lower than standing readings.
D) There will be questionable accuracy of the blood pressure reading.
7. The nurse is completing an initial assessment of a client who is new to the ambulatory
clinic. Before assessing the client's blood pressure, a nurse asks him what his usual
blood pressure is. The nurse bases this action primarily on what rationale?
A) It provides identifiable data about the client.
B) It verifies the client's cardiac function.
C) It assesses the client's distant memory recall.
D) It indicates the client's involvement in his health care.
8. The nurse has begun a client's assessment and is applying the blood pressure cuff on a
client's arm. Which action would be most appropriate?
A) The cuff is wrapped loosely around the arm.
B) The cuff is placed about 1 inch above the antecubital area.
C) The bladder inside the cuff encircles 50% of the arm circumference.
D) The nurse can fit three toNfour fingers under the inflated cuff.
9. Which of the following would be most important for the nurse to do when assessing a
client's blood pressure?
A) Palpate the pulsations of the ulnar artery.
B) Hold the client's arm slightly flexed with palm down.
C) Inflate the cuff 30 mm Hg above where the radial pulse disappears.
D) Deflate the cuff about 5 mm Hg per second.
10. The nurse is auscultating a client's blood pressure and identifies the portion of the blood
pressure cycle reflecting the break in sounds occurring between the first and second
sounds. This is known as which of the following?
A) Auscultatory gap
B) Korotkoff sounds
C) Phase V
D) Diastolic value
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