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HESI V1 & V2 REVIEW - Health Assessment 1 Questions & Answers - The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? $12.64
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HESI V1 & V2 REVIEW - Health Assessment 1 Questions & Answers - The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client?
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Course
HESI V1 & V2 - Health Assessment 1
Institution
HESI V1 & V2 - Health Assessment 1
HESI V1 & V2 REVIEW - Health Assessment 1 Questions & Answers-The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client?
- Barrel chest
The nurse is assessing bowel sounds for a hospitalized c...
HESI V1 & V2 REVIEW - Health Assessment 1
Questions & Answers
The nurse is performing a thoracic assessment on a client with chronic asthma and
hyperinflation of the lungs. Which finding should be expected for this client?
- Barrel chest
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard
bowel sounds in the right upper quadrant. What action should the nurse take next?
- Note the character and frequency of bowel sounds
During inspection of a client's mouth and pharynx, the nurse places a tongue blade
on the back of the tongue which causes the client to gag. After removing the
tongue blade, what action should the nurse take?
- Document an intact gag reflex.
When teaching a client how to perform a monthly breast self-assessment, the nurse
should tell the client that it is most important to assess which part of the breast
more closely for changes?
- Upper outer quadrant.
The nurse is assessing a postmenopausal client who has a BMI of 32. The client
has a chest measurement of 42 inches, waist measurement of 45 inches, and hip
measurement of 50 inches. What important message should the nurse explain to the
client to promote health promotion?
- A waist circumference is greater than 35 inches in women puts you at higher risk
for type 2 diabetes and heart disease."
The nurse performs a physical assessment on an older female client. Which change
from the prior exam may be an indication of osteoporosis?
- Height reduction of 1.5 inches.
, While conducting an interview to obtain a health history, the nurse notices that the
client pauses frequently and looks at the nurse expectantly. Which response is best
for the nurse to provide?
- Sit quietly to allow the client to respond comfortably.
A client is in the clinical for a yearly physical examination. Which action should
the nurse take when preparing to examine the client's abdomen?
- Ask the client to urinate before beginning the examination.
Which respiratory condition should the nurse document after measuring a
respiratory rate of 8 breaths/minute?
- Bradypnea.
Which procedure should the nurse use to assessfor a pulse deficit?
- Measure the apical pulse and compare it to the peripheral pulse.
*A pulse deficit is a palpable difference between the apical pulse at the point of
maximal impulse and the radial pulse palpated at the wrist.
A client has been diagnosed with bilateral lower lobe atelectasis. What percussion
sound should the nurse expect to hear when percussing over the client's lower
lobes?
- Dull, thud-like.
A client is being assessed upon admission to the medical-surgical unit. The nurse is
preparing to complete a head-to-toe assessment and will begin at the head of the
client. Which technique should the nurse use to begin the assessment?
- Inspect the hair and skin.
The nurse is assessing a healthy young adult during an annual physical
examination. Which assessment technique should the nurse implement when
palpating the abdominal aorta?
- Deep palpation above and to the left of the umbilicus.
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