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Health Assessment - Test Bank (Exam 4) FOR CHAPTERS 13, 14, 15, 16, 17, 18, 19, 20, & 21 - FOCUS ON THE AGING ADULT; SKIP OR DELETE ANY OTHER QUESTIONS NOT RELATED TO THE OLDER ADULT! - ANSWER-SKIP OR DELETE ANY OTHER QUESTIONS NOT RELATED TO THE OLDER ADULT! BEGINNING OF CHAPTER 14 - HEAD, FACE, AND NECK, AND REGIONAL LYMPHATICS ***FOCUS ONLY ON THE AGING ADULT QUESTIONS!! - ANSWER-BEGINNING OF CHAPTER 14 - HEAD, FACE, AND NECK, AND REGIONAL LYMPHATICS A physician tells the nurse that a pati...

Test Bank - Health Assessment for Nursing Practice - Chapter 1 Test Bank Latest Update 2024 In-class activity • Classic Live The primary objective of the initial encounter is to: a. define the advice and care for the patient. b. establish the tone of a successful partnership. c. optimize your ability to help. d. tell the patient the limits of care. - ANSWER-b If language is a barrier, the interpreter should be: a. a family member. b. a language board. c. a professional interpreter d. a st...

Health Assessment Exam 3 test bank While auscultating the heart at the third intercostal space, left sternal border, the nurse notes a high-pitched, scratchy sound that increases with exhalation with the client leaning forward. The nurse would document which of the following? A) Pericardial friction rub B) Midsystolic click C) Summation gallop D) Aortic ejection click - ANSWER-A) Pericardial friction rub During chest auscultation, the nurse hears a quiet murmur immediately upon placing t...

ATI RN Fundamentals Proctored Exam Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? - ANSWER-Yes. A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an assistive personnel (AP)? A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia B. Reinforcing teaching w/a client who is learning to walk using a quad cane C. Reapplying a condom cathete...

ATI proctored leadership exam A nurse manager is reviewing the stages of conflict resolution with the nursing staff. The nurse manager should instruct the staff to expect the stages of the conflict to occur in what order? (Order the steps of the process by placing the letters in the correct sequence.) 1. The conflict process is latent conflict, which involves awareness of potential situations that can create conflict. 2. Conflict aftermath, where those involved recognize the positive and negati...

ATI Proctored Assessment Leadership 2019 A nurse in the ED is performing triage for a group of clients following a MVC. Which of the following clients should the nurse request the provider assess first? -A client who has a closed leg fracture and reports peripheral paresthesia -A client who reports a sprained ankle and has a laceration over the medial ankle -A client who has arm contusions and manifests asymmetrical thoracic movement -A client who has abrasions to the face and is requesting me...

RN 2019 Leadership ATI A nurse is reviewing a client's medication administration record and finds that the client has not received a prescribed dose of warfarin for 2 days. which of the following actions should the nurse take first? - ANSWER-Check the client's INR. A nurse manager is presenting an in-service about preventing readmission of clients dues to complications following joint arthroplasty. Which of the following leadership tasks is the nurse performing? - ANSWER-Advocay a nurse is te...

MED SURG HESI 2022 The nurse is preparing to assist a client with a cuffed tracheostomy tube to eat. What intervention is the priority before the client is permitted to drink or eat? - ANSWERS-Inflate the cuff Rationale: If a client with a tracheostomy is allowed to eat and the tracheostomy has a cuff, the nurse should inflate the cuff to prevent aspiration of food or fluids. The cuff would not be deflated because of the risk of aspiration. The nurse has implemented a bowel maintenance program...

Capstone Med Surg Pre Assessment A nurse is collecting data from an older adult client who has a femoral fracture 24 hr ago and is in Buck's traction. Which of the following findings is an indication of fat embolism syndrome? - ANSWER-petechiae on the chest A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. which of the following instructions should be included in the teaching? - ANSWER-Breathe in through her nose and out throug...

Relias ED RN A Test In-class activity Your patient's chest tube dressing has accidentally come off and you are preparing to place a new one. You have a slit drain sponge, 4 x 4 gauzes, tape, scissors, and antiseptic swabs. What else do you need? - ANSWER-Petrolatum gauze You want to implement the new evidence-based practice guidelines in managing patients to prevent falls on your unit. What provides the STRONGEST evidence for interventions? - ANSWER-Systematic reviews Upon triage of a patient...