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A nurse performing a physical assessment of a client gathers both subjective and objective data. Which of the following findings would the nurse document as subjective data? - Answer The client states that he has a rash. A nurse is reviewing the findings of a physical examination that have be...

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Publié le 1 novembre 2024
Nombre de pages 11
Écrit en 2024/2025
Type Examen
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physical assessment

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Health Promotion and Disease
Prevention Exam Questions Fully
Answered.
A nurse performing a physical assessment of a client gathers both subjective and objective data. Which
of the following findings would the nurse document as subjective data? - Answer The client states that
he has a rash.

A nurse is reviewing the findings of a physical examination that have been documented in a client's
record. Which piece of information does the nurse recognize as objective data? - Answer A 1 x 2-inch
scar is present on the lower right portion of the abdomen.

A nurse is making an initial home visit to a client with chronic obstructive disease who was recently
discharged from the hospital. Which type of database dose the nurse use to obtain information from the
client? - Answer Complete

A nurse is examining a 25 year old client who was seen in the clinic 2 weeks ago for symptoms of a cold
and is now complaining of chest congestion and cough. The nurse should proceed with the examination
by collecting: - Answer Data related to the respiratory system.

A client is brought to the emergency department after a motor vehicle accident. The client is alert and
cooperative but has sustained multiple fractures of the legs. How should the nurse proceed with data
collection? - Answer Ask health history questions while performing the examination and initiating
emergency measures.

A client who was given a diagnosis of hypertension 3 months ago is at the clinic for a checkup. Which
type of database does the nurse use in performing an assessment? - Answer Follow-up.

A Mexican-American client with epilepsy is being seen at the clinic for an initial examination. The nurse
understands that the primary purpose of including cultural information in the health assessment is to: -
Answer Determine what the client believes has caused the epilepsy.

, A nurse performing a skin assessment uses the back of the hand of feel the client's skin on both arms
and notes that the skin is warm. The nurse determines that: - Answer The skin temperature is normal.

A nurse performing a skin assessment notes that the client's skin is very dry. The nurse documents this
finding as: - Answer Xerosis.

A nurse is preparing the perform a skin examination with the use of a Wood light. In preparing for this
diagnostic test, the nurse should: - Answer Darken the room.

A nurse performing an assessment of a client with kidney failure notes that the client has the
appearance of generalized edema over the entire body. The nurse documents this finding as: - Answer
Anasarca.

A nurse reviewing the medical record of a client with the diagnosis of heart failure notes documentation
indicating that the client has deep pitting edema, that the indentation remains for a short time, and that
the leg looks swollen. How does the nurse document this finding? - Answer 3+ edema.

A client complains that her skin is redder than normal. The nurse assesses the client's skin, documents
hypermedia, and explains to the client that this condition is caused by: - Answer Excess blood in the
dilated superficial capillaries.

A clinic nurse about to meet a new client plans to gather subjective data regarding the client's health
history. Which of the following actions does the nurse take to help ensure the success of the interview? -
Answer Ensuring that the room is private.

A nurse conducting an interview with a client collects subjective data. During the interview, the nurse: -
Answer Take minimal notes to avoid observation of the client's nonverbal behaviors.

A nurse is preparing to screen a client's vision with the use of a Snellen chart. The nurse: - Answer Tests
the right eye, then tests the left eye, and finally tests both eyes together.

A nurse reviewing a client's record notes that the result of the client's latest Snellen chart vision test was
20/80. The nurse interprets this to mean that the client: - Answer Can read at a distance of 20 feet with
a client with normal vision can read at 80 feet.

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