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Exam TEST BANK For Health Assessment in Nursing, 7th Edition by Weber, Verified Chapters 1 - 34
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Exam TEST BANK For Health Assessment in Nursing, 7th Edition by Weber, Verified Chapters 1 - 34
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Exam TEST BANK For Health Assessmentin Nursing, 7th Edition by Weber, Verified
Chapters 1 - 34
After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data would be:
Subjective
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be:
Data base
The patients record, laboratory studies, objective data, and subjective data combine to form
the:
Validate the data by asking a coworker to listen to the breath sounds
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to:
A set of rules
The nurse is conducting a class for new graduate nurses. During the teaching session, the
nurse should keep in mind that novice nurses, without a background of skills and experience
from which to draw, are more likely to make their decisions using:
Intuition
Expert nurses learn to attend to a pattern of assessment data and act without consciously
labeling it. These responses are referred to as:
EBP emphasizes the use of best evidence with the clinicians experience
The nurse is reviewing information about evidence-based practice (EBP). Which statement
best reflects EBP?
Individual with shortness of breath and respiratory distress
,The nurse is conducting a class on priority setting for a group of new gradua te nurses. Which
is an example of a first-level priority problem?
Abnormal laboratory values
When considering priority setting of problems, the nurse keeps in mind that second-level
priority problems include which of these aspects?
Clustering related cues
Which critical thinking skill helps the nurse see relationships among the data?
Nursing
The nurse knows that developing appropriate nursing interventions for a patient relies on
the appropriateness of the __________ diagnosis.
Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
The nursing process is a sequential method of problem solving that nurses use and includes
which steps?
Breathing, pain, and sleep
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
difficulty breathing. How should the nurse prioritize these problems?
Diagnostic hypothesis
Which of these would be formulated by a nurse using diagnostic reasoning?
Nurses lack of research skills in evaluating the quality of research studies
Barriers to incorporating EBP include:
Assessment
What step of the nursing process includes data collection by health history, physical
examination, and interview?
Teach the nurses how to conduct electronic searches for research studies
,During a staff meeting, nurses discuss the problems with accessing research studies to
incorporate evidence-based clinical decision making into their practice. Which suggestion by
the nurse manager would best help these problems?
Holistic health views the mind, body, and spirit as interdependent
When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these?
Prevention places the emphasis on the link between health and personal behavior
The nurse recognizes that the concept of prevention in describing health is essential
because:
2 5 cm scar on the right lower forearm
The nurse is performing a physical assessment on a newly admitted patient. An example of
objective information obtained during the physical assessment includes the:
A complete health data base because of the nurses primary responsibility for monitoring
the patients health
A visiting nurse is making an initial home visit for a patient who has many chronic medical
problems. Which type of data base is most appropriate to collect in this setting?
Patient in an outpatient clinic has cold and influenza-like symptoms
Which situation is most appropriate during which the nurse performs a focused or problem-
centered history?
Collect a follow-up data base and then check her blood pressure
A patient is at the clinic to have her blood pressure checked. She has been coming to the
clinic weekly since she changed medications 2 months ago. The nurse should:
Simultaneously ask history questions while performing the examination and initiating life-
saving measures
, A patient is brought by ambulance to the emergency department with multiple traumas
received in an automobile accident. He is alert and cooperative, but his injuries are quite
severe. How would the nurse proceed with data collection?
Provide culturally sensitive and appropriate care
A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination.
The nurse knows that including cultural information in his health assessment is important
to:
Helping the consumer choose a healthier lifestyle
In the health promotion model, the focus of the health professional includes:
Evaluate the individuals condition, and compare actual outcomes with expected outcomes
The nurse has implemented several planned interventions to address the nursing diagnosis
of acute pain. Which would be the next appropriate action?
Understands a patient situation as a whole rather than a list of tasks and recognizes the
long-term goals for the patient.
Which statement best describes a proficient nurse? A proficient nurse is one who:
Inspiratory wheezes noted in left lower lobes
Nonproductive cough
Patient reports dyspnea upon exertion
Rate of respirations 16 breaths per minute
The nurse is reviewing data collected after an assessment. Of the data listed below, which
would be considered related cues that would be clustered together during data analysis?
Select all that apply.
1-A patient newly diagnosed with type 2 diabetes mellitus does not know how to check
his own blood glucose levels with a glucometer.
2-A teenager who was stung by a bee during a soccer match is having trouble breathing.
3-An older adult with a urinary tract infection is also showing signs of confusion and
agitation.
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