FOR EXAM 1|| 100% CORRECT
Which of the following interventions is most important to prevent nosocomial
infections? - ANSWER-Hand hygiene
Standard precautions - ANSWER-are used on every patient because it is not always
known whether a patient is infected.
latex allergies - ANSWER-are more common in nurses and in frequently hospitalized
patients.
example of inspection - ANSWER-skin pink, visual information
The patient is complaining of abdominal pain. What technique is used to form an
overall impression? - ANSWER-light palpation
tympany is a percussion sound commonly located in the - ANSWER-abdomen
Which organs or body areas does the nurse auscultate as part of the admitting
assessment? - ANSWER-heart, lungs, abdomen
What technique facilitates accurate auscultation? - ANSWER-The chestpiece of the
stethoscope is sealed against the skin.
When assessing the child, the nurse makes the following adaptation to the usual
techniques: - ANSWER-A pediatric stethoscope is used for better contact.
The nurse assesses the following vital signs in a 78-year-old man: T 36.6°C,
temporal; P 72 bpm, regular, 2+; R 18 breaths/minute, regular, no use of accessory
muscles; BP 142/92 mm Hg. Which of the findings is abnormal? - ANSWER-BP
An auscultatory gap is defined as - ANSWER-a period of silence heard between
Korotkoff sounds
A school nurse is performing an assessment of a student who states: "I'm too tired to
keep my head up in class." The student has a low-grade fever. The nurse would
interpret these findings as indicating which stage of infection? - ANSWER-prodromal
stage
Mr. Brown was playing soccer and hurt his right knee. It appears swollen. What is
the first assessment you should make? - ANSWER-compare swollen knee to other
knee
four characteristics of respirations - ANSWER-rate, rhythm, depth, quality