Fundamental Concepts and Skills for Nursing 100% ACCURATE GRADE A+ GUARANTEED

A holistic nursing assessment of a patient is necessary to: 1. formulate an effective nursing care plan 2. establish patient trust in the nurse 3. determine the patient's physical problems 4. detect adverse effects of treatment 1. formulate an effective nursing care plan When performing an auscultation for heart rate and rhythm, it is most important to listen: 1. at the base of the heart with the bell 2. to an area above the left nipple with the bell 3. 2 inches below the right nipple with the diaphragm 4. at the fifth intercostal space at the midclavicular line with the diaphragm 4. at the fifth intercostal space at the midclavicular line with the diaphragm When auscultation lung sounds, you should: (Select all that apply) 1. use the bell of the stethoscope 2. turn off the radio or TV 3. use the diaphragm of the stethoscope 4. listen in two or three places 5. follow a systematic pattern of stethoscope placement 2. turn off the radio or TV 3. use the diaphragm of the stethoscope 5. follow a systematic pattern of stethoscope placement Neurologic checks are performed for the patient who has experienced an intracranial injury to determine: (Select all that apply) 1. state of cognition 2. an increase in intracranial pressure 3. a lack of coordination 4. pupil reactions 5. decrease in consciousness 1. state of cognition 2. an increase in intracranial pressure 4. pupil reactions 5. decrease in consciousness When planning care for a patient with a respiratory complain, which pieces of information are most important to consider? (Select all that apply) 1. back and joint pain 2. decreased appetite 3. abnormal breath sounds 4. feelings of dyspnea 5. decreased activity tolerance 3. abnormal breath sounds 4. feelings of dyspnea 5. decreased activity tolerance When assessing blood pressure if the reading is abnormal on initial assessment, the nurse knows to check the pressure. 1. on the other arm 2. on both arms sitting and standing 3. with the patient standing 4. after a 15-minute wait 2. on both arms sitting and standing When performing an initial assessment on a patient, which patient of information is of highest priority? 1. where the patient is living 2. any allergies to medication 3. treatment for previous illnesses 4. date of previous diagnostic tests 2. any allergies to medication When taking a history of abdominal pain, it is most important to ask: 1. under what circumstances the symptoms occur 2. if the pain has ever occurred before 3. what the usual diet is 4. what has been tried to relieve the pain 1. under what circumstances the symptoms occur When checking blood pressure with an automated machine, if the reading is considerably outside the previous reading for the patient, the nurse should first: 1. check the BP in the other arm 2. take the BP with the patient supine 3. wait 20 minutes and take another reading 4. measure the BP with a manual sphygmomanometer 4. measure the BP with a manual sphygmomanometer A 52-year old male presents with malaise, fatigue, chest congestion, and a chronic cough. While collecting assessment data, an important question to ask him is: 1. What is your occupation? 2. Do you have any abdominal pain? 3. When did these symptoms start? 4. Do you have a headache? 3. When did these symptoms start? While exploring the symptom of diarrhea, a question to ask first is: 1. What did you eat prior to the onset of diarrhea? 2. How many hours are you sleeping each night? 3. How many bowel movements have you had today? 4. Do you vomit easily? 3. How many bowel movements have you had today? A very pertinent part of the physical examination on a patient with back pain is: 1. inspection of the extremities 2. auscultation of bowel sounds 3. auscultation of the lungs 4. percussion of the flank areas of the back 4. percussion of the flank areas of the back A 46-year old female present with menstrual difficulties, fatigue, and mood swings. A pelvic examination is ordered. The nurse would place the patient in the lithotomy position with her feet in the stirrups and ask her to: (Select all that apply) 1. move her buttocks to the edge of the table 2. hold her breath during the exam 3. let her knees fall apart 4. tense her abdominal muscles 1. move her buttocks to the edge of the table 3. let her knees fall apart When gathering a history from a patient with menstrual difficulties, the nurse would ask: (Select all that apply) 1. When was the first day of your last period? 2. How much water are you drinking daily? 3. When was your last bowel movement? 4. Is it possible you are pregnant? 1. When was the first day of your last period? 4. Is it possible you are pregnant? A 16-year old male sustained a head injury while playing soccer. When performing a neurologic check on him, the nurse looks at each pupil to determine: 1. if the shape is regular 2. if they have become smaller CONTINUED.....