NR302: Nursing Skill: Head-to-Chest Assessment
(Questions & A+ Solutions)
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Terms in this set (22)
The nurse is admitting a client with an Sanitize the stethoscope endpiece with an alcohol
infected left ear cyst. As part of the swab
admission, a head-to-chest Observe the client's face and body language for
assessment is indicated. Before signs of pain or distress
examining the client, it is important the Ask the client to empty their bladder
nurse completes which nursing Organize supplies to avoid interruptions
actions? Select all that apply. Perform hand hygiene
A client-centered health assessment Subjective
yields both subjective and objective Objective
data. The nurse would ask questions to
elicit _______ data and would auscultate
heart sounds to elicit ______ data.
The nurse is inspecting the client's Observe for symmetry and midline alignment of the
neck. Which three (3) health trachea
assessment inspection steps will the Observe for masses on the neck
nurse take during the neck Observe for full range of motion of the neck
examination?
Based on the notes and orders Palpate pulses
received, the nurse prepares to Auscultate carotid arteries
complete a cardiovascular exam on
the client. Which of these components
should be included in the
examination? Select all that apply.
, In the table below, choose which Indicated: Clean gloves
supplies are indicated or not indicated Tongue blades
for the preparation for or Soap or alcohol-based hand rub
performance of a head-to-chest Stethoscope
assessment.
Not Indicated: Sterile drape
Nurse is auscultating heart sounds and Nurse asks client to lower television volume
client increases television volume to
the max
Client breath sounds need to be Client needs to be sitting upright to assess thorax
auscultated and the client is in a and lungs
supine position
Nurse is assessing the skin and finds a Nurse uses ABCDEF mnemonic to assess and refers
mole of irregular shape that client client to healthcare provider for follow-up
states bleeds periodically
Nurse asks client to take a deep Nurse conducts a focused pain assessment
breath and client grimaces in pain
(Questions & A+ Solutions)
Save
Terms in this set (22)
The nurse is admitting a client with an Sanitize the stethoscope endpiece with an alcohol
infected left ear cyst. As part of the swab
admission, a head-to-chest Observe the client's face and body language for
assessment is indicated. Before signs of pain or distress
examining the client, it is important the Ask the client to empty their bladder
nurse completes which nursing Organize supplies to avoid interruptions
actions? Select all that apply. Perform hand hygiene
A client-centered health assessment Subjective
yields both subjective and objective Objective
data. The nurse would ask questions to
elicit _______ data and would auscultate
heart sounds to elicit ______ data.
The nurse is inspecting the client's Observe for symmetry and midline alignment of the
neck. Which three (3) health trachea
assessment inspection steps will the Observe for masses on the neck
nurse take during the neck Observe for full range of motion of the neck
examination?
Based on the notes and orders Palpate pulses
received, the nurse prepares to Auscultate carotid arteries
complete a cardiovascular exam on
the client. Which of these components
should be included in the
examination? Select all that apply.
, In the table below, choose which Indicated: Clean gloves
supplies are indicated or not indicated Tongue blades
for the preparation for or Soap or alcohol-based hand rub
performance of a head-to-chest Stethoscope
assessment.
Not Indicated: Sterile drape
Nurse is auscultating heart sounds and Nurse asks client to lower television volume
client increases television volume to
the max
Client breath sounds need to be Client needs to be sitting upright to assess thorax
auscultated and the client is in a and lungs
supine position
Nurse is assessing the skin and finds a Nurse uses ABCDEF mnemonic to assess and refers
mole of irregular shape that client client to healthcare provider for follow-up
states bleeds periodically
Nurse asks client to take a deep Nurse conducts a focused pain assessment
breath and client grimaces in pain
