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HAP 239 Quizzes With Correct Solutions Graded A+ Pass 100%

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- CORRECT ANSWER -A nurse is performing an admission physical examination on a patient who has been bedridden for a month. The nurse notices a pressure injury on the patient's left trochanter area that involves partial-thickness skin loss with no damage to the subcutaneous tissue. The nurse ...

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  • August 30, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nursing
  • Nursing
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Eddiestudy
HAP 239 Quizzes With Correct Solutions Graded A+
Pass 100%
- CORRECT ANSWER ✔✔ -A nurse is performing an admission physical examination on a

patient who has been bedridden for a month. The nurse notices a pressure injury on the patient's

left trochanter area that involves partial-thickness skin loss with no damage to the subcutaneous

tissue. The nurse reports this pressure injury as which stage?


- CORRECT ANSWER ✔✔ -A nurse is performing an admission physical examination on a

patient who has been bedridden for a month. The nurse notices a pressure injury on the patient's

left trochanter area that involves partial-thickness skin loss with no damage to the subcutaneous

tissue. The nurse reports this pressure injury as which stage?

a. Stage 1

b. Stage 2

c. Stage 3

d. Stage 4


a, c, e - CORRECT ANSWER ✔✔ -What are the functions of the upper airways? (SELECT

ALL THAT APPLY)

a. Conduct air to lower airway

b. Provide area for gas exchange

c. Prevent foreign matter from entering respiratory system

d. Warm, humidify, and filter air entering lungs

,e. Provide transportation of oxygen and carbon dioxide between alveoli and cells


a,b,d - CORRECT ANSWER ✔✔ -In performing a whispered voice test to assess hearing, which

of these actions would the nurse do? (SELECT ALL THAT APPLY)

a. Ensure that the patient cannot see the examiner's lips.

b. Whisper a set of random numbers and letters and ask the patient to repeat them.

c. Stand about 2 feet away directly in front of the patient.

d. Repeat using different numbers and letters if their first response is not correct.


a. 12-20 - CORRECT ANSWER ✔✔ -When conducting a respiratory assessment with an adult

patient, which of the following would the nurse consider as a normal respiratory rate range?

a. 12-20

b. 18-30

c. 24-40

d. 30-60


a. allergic reaction - CORRECT ANSWER ✔✔ -When taking the health history, the patient

complains of pruritus. What is a common cause of this symptom?

a. Allergic response

b. Cancer

c. Hyperpigmentation

d. Excessive bruising

, a. Count the radial pulse for 30 seconds, if the pulse is regular, and multiply by two.


b. If irregular, count the radial pulse for 1 full minute - CORRECT ANSWER ✔✔ -To perform

an accurate assessment of heart rate, the examiner can do which of the following? Select all that

apply:

a. Count the radial pulse for 30 seconds, if the pulse is regular, and multiply by two.

b. If irregular, count the radial pulse for 1 full minute.

c. Count the radial pulse for 2 full minutes if the pulse is irregular.

d. Count the radial pulse for 15 seconds, if the pulse is regular, and multiple by 4.


a. early menarche or late menopause. - CORRECT ANSWER ✔✔ -A known risk factor for

breast cancer includes:

a. early menarche or late menopause.

b. low breast tissue density.

c. low-fat, low cholesterol diet.

d. breastfeeding an infant for more than 6 months.


a. papule - CORRECT ANSWER ✔✔ -The nurse notices that a patient has a solid, elevated,

circumscribed lesion that is less than 1 cm in diameter. When documenting this finding, the

nurse would report this as a:

a. papule.

b. wheal.

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