NURS125FinalAnsweredcorrectlyupdatedsummer2022.

NURS125FinalAnsweredcorrectlyupdatedsummer2022.

Ch22NCLEX-StyleReviewQuestions Termsinthisset(13)

Answer:

Apatientisadmittedwith shortnessofbreath,sothe nurseimmediatelylistenstohis breathsounds.Whichtypeof assessmentisthenurse performing?1)Ongoingassessment 2)Comprehensivephysical assessment 3)Focusedphysical assessment 4)Psychosocialassessment 3)Focusedphysical assessment

RATIONALE:

Thenurseisperformingafocusedphysical assessment,whichisdonetoobtaindataaboutan identifiedproblem,inthiscase,shortnessofbreath.Anongoingassessmentisperformedasneeded, aftertheinitialdataarecollected,preferablywith eachpatientcontact.Acomprehensivephysical assessmentincludesaninterviewandacomplete examinationofeachbodysystem.Apsychosocial assessmentexaminesbothpsychologicalandsocial factorsaffectingthepatient.Thenurseconductinga psychosocialassessmentwouldgatherinformation aboutstressors,lifestyle,emotionalhealth,social influences,copingpatterns,communication,and personalresponsestohealthandillness,tonamea fewaspects.Thisstudysourcewasdownloadedby100000840820515fromCourseHero.comon06-07-202200:46:05GMT-05:00

Thenurseisassessingvital Answer:

signsforapatientjustadmitted Ch22NCLEX-StyleReviewQuestionsStudy tothehospital.Ideally,andif therearenocontraindications, howshouldthenurseposition thepatientforthisportionof theadmissionassessment?1)Sittingupright 2)Lyingflatonthebackwith kneesflexed 3)Lyingflatonthebackwith armsandlegsfully extended 4)Side-lyingwiththeknees flexed 1)Sittingupright

RATIONALE:

Ifthepatientisable,thenurseshouldhavethe patientsituprighttoobtainvitalsignsinorderto allowthenursetoeasilyaccesstheanteriorand posteriorchestforauscultationofheartandbreath sounds.Itallowsforfulllungexpansionandisthe preferredpositionformeasuringbloodpressure.In addition,patientsmightbemorecomfortableand feellessvulnerablewhensittingupright(ratherthan lyingdownontheirback)andcanhavedirecteye contactwiththeexaminer.However,otherpositions canbesuitablewhenthepatient'sphysical conditionrestrictsthecomfortorabilityofthe patienttositupright.Thisstudysourcewasdownloadedby100000840820515fromCourseHero.comon06-07-202200:46:05GMT-05:00

Answer:Ch22NCLEX-StyleReviewQuestionsStudy

Forallbodysystemsexcept theabdomen,whatisthe preferredorderforthenurse toperformthefollowing examinationtechniques?A.Palpation B.Auscultation C.Inspection D.Percussion

1)D,B,A,C

2)C,A,D,B

3)B,C,D,A

4)A,B,C,D

2)C,A,D,B

RATIONALE:

Inspectionbeginsimmediatelywhenthenurse meetsthepatient,assheobservesthepatient's appearanceandbehavior.Observationaldataare notintrusivetothepatient.Whenperforming assessmenttechniquesinvolvingphysicaltouch,the behavior,posture,demeanor,andresponsesmight bealtered.Palpation,percussion,andauscultation shouldbeperformedinthatorder,exceptwhen performinganabdominalassessment.During abdominalassessment,auscultationshouldbe performedbeforepalpationandpercussionto preventalteringbowelsounds.

Answer:

Thenurseisassessingapatient 1)Sims' admittedtothehospitalwith

RATIONALE:

rectalbleeding.Thepatient Sims'positionistypicallyusedtoexaminetherectal hadahipreplacement2weeks area.However,thepositionshouldbeavoidedifthe ago.Whichpositionshouldthe patienthasundergonehipreplacementsurgery.The nurseavoidwhenexamining patientwithahipreplacementcanassumethe thispatient'srectalarea?supine,dorsalrecumbent,orsemi-Fowler'sposition 1)Sims' withoutcausingharmtothejoint.Supinepositionis 2)Supine lyingontheback,facingupward.Thepatientin 3)Dorsalrecumbent dorsalrecumbentisonhisbackwithkneesflexed 4)Semi-Fowler's andsolesoffeetflatonthebed.Insemi-Fowler's position,thepatientissupinewiththeheadofthe bedelevatedandlegsslightlyelevated.