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 i...
The nurse is assessing a postmenopausal client who has a BMI
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
of 32. The client has a chest measurement of 42 inches, waist
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
measurement of 45 inches, and hip measurement of 50 inches. i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
What important message should the nurse explain to the client
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
to promote health promotion?
i.- A waist circumference is
i.- i.- i.-i.- i.- i.- i.- i.- i.-
greater than 35 inches in women puts you at higher risk for type
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
2 diabetes and heart disease."
i.- i.- i.- i.-
A client with dark skin is reporting a painful and itching area on
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
the lower left leg. What should the nurse look for when
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
assessing this client's skin for inflammation?
i.- Change in i.- i.- i.- i.- i.-i.- i.- i.- i.-
consistency.
A client is being assessed upon admission to the medical-
i.- i.- i.- i.- i.- i.- i.- i.- i.-
surgical unit. The nurse is preparing to complete a head-to-toe
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
assessment and will begin at the head of the client. Which
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
technique should the nurse use to begin the assessment?
i.- i.- i.- i.- i.- i.- i.- i.- i.-i.- i.-
Inspect the hair and skin. i.- i.- i.- i.-
,The nurse is assessing a healthy young adult during an annual
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
physical examination. Which assessment technique should the
i.- i.- i.- i.- i.- i.- i.-
nurse implement when palpating the abdominal aorta?
i.- i.- i.- i.- i.- i.- i.-i.- i.-
Deep palpation above and to the left of the umbilicus.
i.- i.- i.- i.- i.- i.- i.- i.- i.-
The nurse is conducting a family history as part of the
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
assessment interview. Which action should the nurse take to i.- i.- i.- i.- i.- i.- i.- i.- i.-
ensure that sufficient information about the client's blood
i.- i.- i.- i.- i.- i.- i.- i.-
relatives is obtained? Document at least 3 generations of
i.- i.- i.-i.- i.- i.- i.- i.- i.- i.- i.-
the client's family medical history.
i.- i.- i.- i.-
The nurse performs a physical assessment on an older female
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
client. Which change from the prior exam may be an indication
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
of osteoporosis?
i.- Height reduction of 1.5 inches. i.-i.- i.- i.- i.- i.- i.-
While conducting an interview to obtain a health history, the
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
nurse notices that the client pauses frequently and looks at the
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
nurse expectantly. Which response is best for the nurse to
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
provide? Sit quietly to allow the client to respond
i.-i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
comfortably.
A client is in the clinical for a yearly physical examination. Which
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
action should the nurse take when preparing to examine the
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
, client's abdomen? Ask the client to urinate before
i.- i.-i.- i.- i.- i.- i.- i.- i.- i.-
beginning the examination. i.- i.-
Which respiratory condition should the nurse document after
i.- i.- i.- i.- i.- i.- i.- i.-
measuring a respiratory rate of 8 breaths/minute? i.- i.- i.- i.- i.- i.- i.-i.- i.-
Bradypnea.
Which procedure should the nurse use to assessfor a pulse
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
deficit? Measure the apical pulse and compare it to the
i.-i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
peripheral pulse. i.-
*A pulse deficit is a palpable difference between the apical
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
pulse at the point of maximal impulse and the radial pulse
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
palpated at the wrist. i.- i.- i.-
A client has been diagnosed with bilateral lower lobe
i.- i.- i.- i.- i.- i.- i.- i.- i.-
atelectasis. What percussion sound should the nurse expect to i.- i.- i.- i.- i.- i.- i.- i.- i.-
hear when percussing over the client's lower lobes?
i.- Dull, i.- i.- i.- i.- i.- i.- i.-i.- i.- i.-
thud-like.
The nurse is performing a thoracic assessment on a client with
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-
chronic asthma and hyperinflation of the lungs. Which finding
i.- i.- i.- i.- i.- i.- i.- i.- i.-
should be expected for this client?
i.- Barrel chest i.- i.- i.- i.- i.-i.- i.- i.-
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