The nurse is examining a patient who is complaining of "feeling cold." Which is a
mechanism of heat loss in the body?
- Radiation
A patient has been admitted to the hospital with vertebral fractures related to
osteoporosis. She is in extreme pain. This type of pain would be classified as:
- deep somatic.
The nurse notices that a patient's palpebral fissures are not symmetrical. On
examination, the nurse may find that there has been damage to cranial nerve:
- VII.
A patient is unable to differentiate between sharp and dull stimulation to both sides of
her face. The nurse suspects:
- damage to the trigeminal nerve.
A patient's laboratory data reveal an elevated thyroxine level. The nurse would
proceed with an examination of the:
- thyroid gland
While examining a patient, the nurse observes abdominal pulsations between the
xiphoid and umbilicus. The nurse would suspect that these are:
- normal abdominal aortic pulsations.
The nurse is watching a new graduate nurse perform auscultation of a patient's
abdomen. Which statement by the new graduate shows a correct understanding of the
reason auscultation precedes percussion and palpation of the abdomen?
- "It prevents distortion of bowel sounds that might occur after percussion and
palpation."
After completing an assessment of a 60-year-old man with a family history of colon
cancer, the nurse discusses with him early detection measures for colon cancer. The
nurse should mention the need for a(n):
- colonoscopy every 10 years
When beginning to assess a person's spirituality, which question by the nurse would
be most appropriate?
- "How does your spirituality relate to your health care decisions?"