ASSESSMENT EIGHTH EDITION PROFESSIONAL
REVIEW GUIDE
©When measuring a patients weight, the nurse is aware of which of
these guidelines?
a.
The patient is always weighed wearing only his or her undergarments.
b.
The type of scale does not matter, as long as the weights are similar from
day to day.
c.
The patient may leave on his or her jacket and shoes as long as these are
documented next to the weight.
d.
Attempts should be made to weigh the patient at approximately the same
time of day, if a sequence of weights is necessary. Answer:D
,©A patients weekly blood pressure readings for 2 months have ranged
between 124/84 mm Hg and 136/88 mm Hg, with an average reading of
126/86 mm Hg. The nurse knows that this blood pressure falls within
which blood pressure category?
a.
Normal blood pressure
b.
Prehypertension
c.
Stage 1 hypertension
d.
Stage 2 hypertension Answer:B
©A patients weekly blood pressure readings for 2 months have ranged
between 124/84 mm Hg and 136/88 mm Hg, with an average reading of
126/86 mm Hg. The nurse knows that this blood pressure falls within
which blood pressure category?
a.
Normal blood pressure
b.
, Prehypertension
c.
Stage 1 hypertension
d.
Stage 2 hypertension Answer:A
©A 1-month-old infant has a head measurement of 34 cm and has a
chest circumference of 32 cm. Based on the interpretation of these
findings, the nurse would:
a.
Refer the infant to a physician for further evaluation.
b.
Consider these findings normal for a 1-month-old infant.
c.
Expect the chest circumference to be greater than the head
circumference.
d.
Ask the parent to return in 2 weeks to re-evaluate the head and chest
circumferences. Answer:B