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2023 Rasmussen College NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answerswith Rationale • The nurse will use which technique of assessment to determine the presence of crepitus,swelling, and pulsations? a. Palpation b. Inspection c. Percussion d. Auscultation ...

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  • 5 de enero de 2024
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NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank Questions and Answers with Rationale Latest 2022 / 2023 Rasmussen College NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank Questions and Answers with Rationale Latest Rasmussen College NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank | Questions and Answers with Rationale • The nurse will use which technique of assessment to determine the presence of crepitus, swelling, and pulsations? a. Palpation b. Inspection c. Percussion d. Auscultation RAT: Palpation applies the sense of touch to assess texture, temperature, moisture, organ location and size, as well as any swelling, vibration or pulsation, rigidity or spasticity, crepitation, presence of lumps or masses, and the presence of tenderness or pain. • When performing a physical examination, safety must be considered to protect the examiner and the patient against the spread of infection. Which of these statements describes the most appropriate action the nurse should take when performing a physical examination? NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank Questions and Answers with Rationale Latest 2022 / 2023 Rasmussen College NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank Questions and Answers with Rationale Latest Rasmussen College a. Washing one’s hands after removing gloves is not necessary, as long as the gloves are still intact. b. Hands are washed before and after every physical patient encounter. c. Hands are washed before the examination of each body system to prevent the spread of bacteria from one part of the body to another. d. Gloves are worn throughout the entire examination to demonstrate to the patient NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank Questions and Answers with Rationale Latest Rasmussen College NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank Questions and Answers with Rationale Latest Rasmussen College concern regarding the spread of infectious diseases. RAT: The nurse should wash his or her hands before and after every physical patient encounter; after contact with blood, body fluids, secretions, and excretions; after contact with any equipment contaminated with body fluids; and afte r removing gloves. Hands should be washed after gloves have been removed, even if the gloves appear to be intact. Gloves should be worn when potential contact with any body fluids is present. • The nurse is examining a patient’s lower leg and notices a draining ulceration. Which of these actions is most appropriate in this situation? a. Washing hands, and contacting the physician b. Continuing to examine the ulceration, and then washing hands c. Washing hands, putting on gloves, and continuing with the examination of the ulceration d. Washing hands, proceeding with rest of the physical examination, and then continuing with the examination of the leg ulceration RAT: The examiner should wear gloves when the potential contact with any body fluids is present. I n this situation, the nurse should wash his or her hands, put on gloves, and continue examining the ulceration. NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank Questions and Answers with Rationale Latest Rasmussen College NUR 2092 / NUR2092 Health Assessment Exam 2 Quiz Bank Questions and Answers with Rationale Latest Rasmussen College • During the examination, offering some brief teaching about the patient’s body or the examiner’s findings is often appropriate. Which one of the se statements by the nurse is most appropriate? a. “Your atrial dysrhythmias are under control.” b. “You have pitting edema and mild varicosities.” c. “Your pulse is 80 beats per minute, which is within the normal range.” d. “I’m using my stethoscope to listen for any crackles, wheezes, or rubs.” RAT: The sharing of some information builds rapport, as long as the patient is able to understand the terminology. • The nurse keeps in mind that the most important reason to share information and to offer brief teaching whi le performing the physical examination is to help the: a. Examiner feel more comfortable and to gain control of the situation. b. Examiner to build rapport and to increase the patient’s confidence in him or her. c. Patient understand his or her disease process and treatment modalities. d. Patient identify questions about his or her disease and the potential areas of patient education. RAT: Sharing information builds rapport and increases the patient’s confidence in the examiner. It also gives the patient a little more control in a situation during which feeling completely helpless is often present. • The nurse is examining an infant and prepares to elicit the Moro

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