100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR 218 Exam 2 Questions and Answers 100% Solved $13.49   Add to cart

Exam (elaborations)

NUR 218 Exam 2 Questions and Answers 100% Solved

 2 views  0 purchase
  • Course
  • Nur 218
  • Institution
  • Nur 218

NUR 218 Exam 2 Questions and Answers 100% Solved Objective data can be gathered from the patient during which aspects of the physical assessment process? (Select all that apply.) a. Patient interview b. Health history c. General survey d. Physical examination e. Laboratory testing - a, b, c...

[Show more]

Preview 4 out of 156  pages

  • November 1, 2024
  • 156
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nur 218
  • Nur 218
avatar-seller
NinjaNerd
©NINJANERD 2024/2025. YEAR PUBLISHED 2024.

NUR 218 Exam 2 Questions and

Answers 100% Solved


Objective data can be gathered from the patient during which aspects of

the physical assessment process? (Select all that apply.)

a. Patient interview

b. Health history

c. General survey

d. Physical examination

e. Laboratory testing - ✔✔a, b, c, d, e



Objective data consist of observed information or signs that can be

collected during all stages of the physical assessment process. Even while

the patient is answering questions, providing subjective data or symptom

information, the nurse observes for physical signs of abnormalities or

impairment.

Which sequence best identifies the order in which the nurse should

complete an abdominal assessment?

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.

a. Inspection, palpation, percussion, auscultation

b. Auscultation, inspection, palpation, percussion

c. Auscultation, palpation, percussion, inspection

d. Inspection, auscultation, palpation, percussion - ✔✔Inspection,

auscultation, palpation, percussion




Assessment of the abdominal cavity requires auscultation to immediately

follow inspection, before palpation or percussion, to avoid stimulating the

bowel and eliciting inaccurate assessment results

During examination of a patient's neck with the bell of the stethoscope, the

nurse identifies a carotid bruit. When are bruits audible in the neck?

a. When jugular vein distention is present

b. During normal examination of the neck

c. When the carotid artery is partially occluded

d. With complete occlusion of both carotid arteries - ✔✔When the carotid

artery is partially occluded

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.

A bruit indicates blood flow turbulence and occurs with partial occlusion of

a carotid artery by atherosclerosis. Bruits are not associated with jugular

vein distention and are an abnormal assessment finding. Bruits will not be

heard if the artery is 100% occluded or if the artery blood flow is normal,

without partial obstruction.

A nurse is preparing to auscultate a patient's chest. In which area should

the nurse listen to evaluate the patient's aortic valve?

a. Second right intercostal space

b. Third left intercostal space

c. Fifth right intercostal space

d. Fifth left intercostal space along the midclavicular line - ✔✔Second right

intercostal space



The second intercostal space on the right is the auscultation point for the

aortic valve. The ventricles and pulmonic valve are located on the left. The

point of maximal impulse (PMI) over the mitral valve is located between the

left fourth and fifth intercostal spaces.

Which assessment finding would be most important to document in a

patient with known liver disease who has a distended, taut abdomen?

, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.

a. Abdominal girth

b. Dentition condition

c. Benign cardiac murmurs

d. Daily ambulatory distance - ✔✔Abdominal girth



Increasing abdominal girth may be due to ascites, which is potentially life-

threatening and could cause respiratory arrest if the ascitic fluid is not

drained. Dentition condition and benign murmurs are not directly

associated with liver disease. The patient's condition may affect ambulatory

distance; however, it is not the most important assessment finding listed.

The nurse notes the presence of ptosis when assessing an adult patient's

eyes. Which potential cause would be considered of most concern,

requiring further evaluation as soon as possible?

a. Loss of skin elasticity

b. Levator muscle weakness

c. Congenital ocular abnormality

d. Oculomotor cranial nerve III paralysis - ✔✔Oculomotor cranial nerve III

paralysis

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller NinjaNerd. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75057 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart