NUR 352 - Exam 3 (100% correct answers)

The nurse prepares to conduct a general survey on an adult patient. Which assessment is performed first while the nurse initiates the nurse-patient relationship? 1. Appearance and behavior 2. Measurement of vital signs 3. Observing specific body systems 4. Conducting a detailed health history correct answers Appearance and behavior The nurse is performing an abdominal assessment on a patient. In what order does the nurse perform the steps? correct answers Inspect Auscultate Palpate Percuss While auscultating the adult patient's lungs, the nurse hears loud, bubbly sounds during inspiration that did not disappear after the patient coughed. Which finding should the nurse document from the lung assessment? 1. Rhonchi 2. Coarse crackles 3. Sibilant wheeze 4. Pleural friction rub correct answers Coarse crackles Which number corresponds to the area of the chest where you would auscultate for the tricuspid valve? correct answers 4 The nurse is assessing a patient who returned 1 hour ago from surgery for an abdominal hysterectomy. Which assessment finding would require immediate follow-up? 1. Auscultation of an apical heart rate of 76 2. Absence of bowel sounds on abdominal assessment 3. Respiratory rate of 8 breaths/min 4. Palpation of dorsalis pedis pulses with strength of +2 correct answers 3. respiratory rate of 8 breaths per minute The nurse is teaching a patient to prevent heart disease. Which information should the nurse include? (Select all that apply.) 1. Limit intake of cholesterol to less than 400 mg/day. 2. Talk with your health care provider about taking a daily low dose of aspirin. 3. Work with your health care provider to develop a regular exercise program. 4. Limit daily intake of fats to less than 25% to 35% of total calories. 5. Review strategies to encourage the patient to quit smoking. correct answers 2,3,4,5 cholesterol 310 The nurse is observing the student nurse perform a respiratory assessment on a patient. Which action by the student nurse requires the nurse to intervene?