100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 123 EXAM 2025 WITH 100% QUALITY ANSWERS $17.99
Add to cart

Exam (elaborations)

NURS 123 EXAM 2025 WITH 100% QUALITY ANSWERS

 0 purchase
  • Course
  • NURS 123
  • Institution
  • NURS 123

The nurse is visiting the patient for the first time this shift. She introduces herself and asks the patient several questions related to his condition. While doing so, and without being obvious, she is looking at the color of his eyes and is assessing his ears and nose for discharge and the symmet...

[Show more]

Preview 3 out of 17  pages

  • January 15, 2025
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 123
  • NURS 123
avatar-seller
QUILLSKY
NURS 123 EXAM 2025 WITH 100%
QUALITY ANSWERS

The nurse is visiting the patient for the first time this shift. She introduces herself and asks the patient
several questions related to his condition. While doing so, and without being obvious, she is looking at
the color of his eyes and is assessing his ears and nose for discharge and the symmetry of his mouth. The
nurse is using the assessment technique known as:



Auscultation

Percussion

Inspection

Palpation - correct answers ✔✔Inspection



Inspection is the visual examination of body parts or areas. An experienced nurse learns to make
multiple observations, almost simultaneously, while becoming very perceptive of abnormalities.

Palpation uses the sense of touch. Percussion involves tapping the body with the fingertips to evaluate
the size, borders, and consistency of body organs and to discover fluid in body cavities. Auscultation is
listening with a stethoscope to sounds produced by the body.



The nurse is preparing to examine a patient who has chronic lung disease. She realizes that the patient
most likely will need to be in which position for the examination?



Sitting upright (Fowler's)

Side-lying

Prone

Supine - correct answers ✔✔Sitting upright (Fowler's)



Position patient sitting upright. This promotes full lung expansion during examination. Patients with
chronic respiratory disease will likely need to sit up throughout the examination because of shortness of
breath. Only if the patient is unable to tolerate sitting would a supine position or a side-lying position be
used.

,Which technique is most appropriate for a nurse to implement during the assessment of the abdomen?



-Palpating painful areas first

-Palpating painful masses or organ enlargement deeply and firmly

-Auscultating for 5 minutes over each quadrant or until bowel sounds are heard

-Positioning the patient in a supine position with the arms behind or over the head - correct answers
✔✔Auscultating for 5 minutes over each quadrant or until bowel sounds are heard



To auscultate bowel sounds, place the diaphragm of the stethoscope lightly over each of the four
abdominal quadrants. Listen 5 minutes over each quadrant before deciding that bowel sounds are
absent.

Painful areas are assessed last. Manipulation of a body part can increase the patient's pain and anxiety
and make the remainder of assessment difficult to complete. Placing the arms under the head or
keeping the knees fully extended can cause the abdominal muscles to tighten. Tightening of muscles
prevents adequate palpation. If masses are palpated, note size, location, shape, consistency, tenderness,
mobility, and texture. Manipulation of a body part can increase the patient's pain and anxiety and can
make the remainder of assessment difficult to complete.



Which patient position maximizes the nurse's ability to assess the patient's body for symmetry?



Supine in bed

Sitting on the side of the bed

Prone in bed

Dorsal recumbent - correct answers ✔✔Sitting on the side of the bed



Sitting upright provides full expansion of lungs and allows better visualization of symmetry of upper body
parts.

The supine position maximizes the nurse's ability to assess pulse sites. The prone position is used only to
assess extension of the hip joint. The dorsal recumbent position is used for abdominal assessment
because it promotes relaxation of abdominal muscles



The purpose of the physical assessment is to:

, -Teach patients about better health promotion

-Help select the best nursing measures

-Compare the patient's status with previous findings

-Help the nurse gather additional data - correct answers ✔✔Compare the patient's status with previous
findings



In acute care settings, you perform a brief physical assessment at the beginning of each shift to identify
changes in the patient's status for comparison with the previous assessment. After gathering data, the
nurse groups significant findings into patterns of data that reveal actual or risk nursing diagnoses. Each
abnormal finding directs the nurse to gather additional data. The information is useful in selecting the
best nursing measures to manage the patient's health problems. During the physical assessment is an
ideal time to offer patient teaching and encourage promotion of health practices, such as breast (Box 6-
1) and genital (Box 6-2) self-examination.



When performing an assessment of the cardiovascular system, the nurse evaluates the skin and nails of
the patient. Inadequate tissue perfusion is known as



edema

infiltration

ischemia

infarction - correct answers ✔✔ischemia



Inadequate tissue perfusion results in inadequate delivery of oxygen and nutrients to cells, a condition
called ischemia. This is caused by constriction of vessels or by occlusion (blockage) from clot formation.



An increased amount of deoxygenated hemoglobin may cause a change in skin color known as



cyanosis

Homan's sign

Raynaud's phenomenon

infarction - correct answers ✔✔cyanosis

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 QUILLSKY. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69252 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$17.99
  • (0)
Add to cart
Added