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ADVANCED HEALTH ASSESSMENT The physical assessment technique most frequently use to assess joint symmetry is: You are conducting an examination of Mr. Curtis’s heart and blood vessels and auscultate a grade III murmur. The intensity of this murmur is: Assessing orientation to person, place, and time helps determine: A red, hot swollen joint in a 40-year-old man should lead you to suspec

A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following tes...

1. A nursing planning care for a school-age child who is 4 hr postoperative following perforated appendicitis. Which of the following actions should the nurse include in the plan of care? 2. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first? 3. A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse tak e?

A young patient is admitted to the pediatric unit with cystic fibrosis (CF) exacerbation. The nurse monitors the patient closely because the main cause of death in a child with CF is: A 22-year-old female presents with chronic bronchitis. Tests reveal closure of the airway during expiration. While planning care, a nurse recalls this condition is most likely caused by: A 20-year-old male presents to his primary care provider reporting difficulty breathing when lying down. What term should the n...

A 53-year-old male with a 20-year history of smoking is diagnosed with emphysema. When a staff member asks why the patient’s airways are obstructed, how should the nurse respond? The airways are obstructed because of: A 57-year-old male presents with cough, sputum production, dyspnea, and decreased lung volume. He is diagnosed with pneumoconiosis. When taking the patient’s history, which finding is the most probable cause of his illness? A 10-year-old female develops pneumonia. Physical ex...

1. The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client? 2. The nurse is caring for a client with an acute burn injury. Which action should the nurse take to prevent infection by autocontamination? 3. The nurse teaches burn prevention to a communit...

1. A patient was burned on the forearm after tripping and falling against a wood- burning stove. There are currently several small blisters over the burn area. What does the nurse advise the patient to do about the blisters? Leave the blisters intact because they protect the wound from infection 2. The nurse is caring for a patient who has 30% total body surface area (TBSA) burn. During the first 12 to 36 hours, the nurs...

The nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects? A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipment will give him an electric shock A Nurse is caring for client who has hypertension and has a new prescription for lisinopril. The nurse should consult with the provider about which of the following...

1. A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? 2. A nurse is assessing a client who is experiencing renal colic from a calculus in left renal pelvis. Identify the area where the nurse should expect the client to have referred pain. (Find “hot spots” in the artwork) - CORRECT A nurse is caring for a client who is receiving peritoneal dialysis and notes a decrease in the dialysate flow rate

1. A nurse in a community health center is working with a group of clients who have post-traumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group member? 2. A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, “My roommate never sleeps and keeps me up, too.” Which of the following actions should the nurse take? ...