HESI Health Assessment and Physical Examination Chapter 30

HESI Health Assessment and Physical Examination Chapter 30: Health Assessment and Physical Examination MULTIPLE CHOICE 1. A nurse is a preceptor for a nurse who just graduated from nursing school. When caring for a patient, the new graduate nurse begins to explain to the patient the purpose of completing a physical assessment. Which of the following statements made by the new graduate nurse requires the preceptor to intervene? a. I will use the information from my assessment to figure out if your antihypertensive medication is working effectively. b. Nursing assessment data are used only to provide information about the effectiveness of your medical care. c. Nurses use data from their patient’s physical assessment to determine a patient’s educational needs. d. Information gained from physical assessment helps nurses better understand their patient’s emotional needs. ANS: B Nursing assessment data are used to evaluate the effectiveness of all aspects of a patient’s care, not just the patient’s medical care. Assessment data help to evaluate the effectiveness of medications and to determine a patient’s health care needs, including the need for patient education. Nurses also use assessment data to identify patients psychosocial and cultural needs. 2. Having misplaced his stethoscope, a nurse borrows a colleague’s stethoscope. He next enters the patients room and identifies himself, washes his hands with soap, and states the purpose of his visit. He performs proper identification of the patient before he auscultates her lungs. Which critical health assessment step was not performed? a. Running warm water over stethoscope for patient comfort b. Cleaning stethoscope with Betadine c. Using alcohol-based hand disinfectant d. Cleaning stethoscope with alcohol ANS: D Bacteria and viruses can be transferred from patient to patient when a stethoscope that is not clean is used. The stethoscope should be cleaned before use on each patient. Running water over the stethoscope does not kill bacteria. Betadine is an inappropriate cleaning solution and may damage the equipment. Hand sanitizer is not an approved cleaning product. 3.