complete solutions
A patient is admitted to a hospital for surgery for colon cancer.
What type of assessment is the nurse most likely to perform on
admission?
A. emergency
B. focused
C. comprehensive
D. illness Correct Answer C. comprehensive
A patient is having adverse effects resulting from a medication.
The nurse calls the primary care provider to request a change in
the medication order. The nurse is functioning as a/an
A. educator
B. advocate
C. organizer
D. counselor Correct Answer B. advocate
A patient says that she is having throbbing pain that she rates as
6 on a 10-point scale. This is referred to as
A. subjective primary data
B. subjective secondary data
C. objective primary data
D. objective secondary data Correct Answer A. subjective
primary data
Adult patients may have variations in pulse rates with
A. respirations
B. food intake
C. heat
, D. exercise Correct Answer D. exercise
An auscultatory gap is defined as
A. a drop in the SBP of 15 mm Hg or more with position
change.
B. a period of silence heard between Korotkoff sounds.
C. the difference between the apical and radial pulse.
D. SBP minus the DBP. Correct Answer B. a period of silence
heard between Korotkoff sounds.
Latex allergies
A. always result in anaphylactic reactions and shock
B. can be reduced by moisturizing the hands after washing
C. cannot be caused by equipment such as a stethoscope
D. are more common in nurses and frequently hospitalized
patients Correct Answer D. are more common in nurses and
frequently hospitalized patients
Standard precautions
A. are used on every patient because it is not always known
whether a patient is infected
B. state that hand gel is used for infection with "Clostridium
difficile"
C. include the use of gowns, gloves, and masks with all patients
D. recognize that transmission-based precautions are common
Correct Answer A. are used on every patient because it is not
always known whether a patient is infected
The best way to assess a client's respiration rate is by:
A. place a hand over the client's chest and count for 30 seconds