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PHARMACY TECHNICIAN 0011 Fundamentals of Nursing 8th edition Taylor.(Chapter 25-40)
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PHARMACY TECHNICIAN 0011 Fundamentals of Nursing 8th edition Taylor.(Chapter 25-40)
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PHARMACY TECHNICIAN 0011 Pharmacy TechPHARMACY TECHNICIAN 0011 Fundamentals of
Nursing 8th edition Taylor.
Chapter 25, Health Assessment
Upon entering the client’s room at the beginning of a shift and throughout the shift, the
nurse assesses the client. The nurse considers the client’s plan of care and response to
nursing interventions during the assessments. What type of assessment is the nurse
1. performing?
A) Ongoing partial assessment
B) Comprehensive assessment
C) Focused assessment
D) Emergency assessment
Ans
: A
Feedback:
The nurse is performing an assessment on an infant. Which finding is considered an
abnormal cardiovascular assessment that should be documented and reported to the
3. physician?
A) Decreased heart rate
,PHARMACY TECHNICIAN 0011 Pharmacy Tech
B) Visible pulsation through a thin chest wall
C) Sinus dysrhythmia that increases with inspiration and decreases with expiration
, Prime yourself for your Tests – Study Questions
D) Presence of an S heart sound
Ans
: A
Feedback:
Infants and children should have a more rapid heart rate, instead of a decreased heart
rate, until about age 8 years. Common cardiovascular findings include visible pulsation if
the chest wall is thin, sinus dysrhythmia (the rate increases with inspiration and decreases
with expiration), and the presence of an S heart sound.
The nurse is conducting an assessment on the integumentary system of a client age 74
years. Which of the following findings should the nurse document as an anomaly that
4. may warrant follow-up?
A) The client states that a mole on his forehead has become larger in recent months.
B) Decreased skin turgor is evident when the skin is folded and then released.
C) Small, round, red spots are present on the client’s forearms bilaterally.
D) There are some raised, brown areas on the backs of the client’s hands.
Ans
: A
, Prime yourself for your Tests – Study Questions
Feedback:
Changes in the size or appearance of a mole always require further assessment and
follow-up due to their association with skin cancer. Decreased skin turgor is an expected
finding in older adults, as are diffuse red spots (cherry angioma) and raised, dark areas
(senile lentigines).
As a component of a head to toe assessment, the nurse is preparing to assess convergence
5. of the client’s eyes. How should the nurse conduct this assessment?
A) Ask the client to follow her finger as she slowly moves it towards the client’s nose.
Ask the client to look ahead while slowly bringing a pen light in from the side and to the
B) client’s pupil.
C) Ask the client to hold his head stationary while following a pencil from left to right.
D) Ask the client to read a Snellen chart from a distance of 20 feet.
Ans
: A
Feedback:
Eye convergence is assessed by holding your finger 6″ to 8″ from the patient’s nose and
asking the patient to follow it as it moves closer. A pen light is used to assess pupillary
reaction. Visual acuity is assessed with the use of a Snellen chart. Following a pencil
from side to side is a test for extraocular movements.
6. A nurse is conducting a health assessment. How will the information collected from the
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