Nurs 204 Final Review

All of these are current trends in nursing except

During an examination of a woman the nurse notices that her left breast is slightly larger than the right. Which is true

A pt has abd distention. The protrusion is midline, skin is taut, and flanks not involved. This is

A nurse is performing an integumentary assessment for a client. Which of the following requires immediate attention

A patient is having a hard time bringing her hand to her mouth while eating. This is a struggle to perform

During evaluation the nurse must gather information about the client to

A nurse is caring for a patient who is crying while reading his devotional book. What should the nurse do?

A client with a fractured femur has a BP of 140/90 & has no hx of HTN. Which action should the nurse take next?

When documenting PERRLA this means

A nurse is auscultating a patient's thorax and hears low pitched gurgling similar to velcro. The nurse knows this is

Which of the following situations best describes a person at risk for DVT

A nurse observes facial drooping, right sided weakness, and slurred speech of a woman. What should she do?

A Jehovah's Witness is scheduled for surgery & can't receive blood transfusions. What is an appropriate response

A student notes a patient doesn't belong to a specific religion. What should the student nurse interpret

Nurse is preparing a session about managing stress incontinence for older adults. Which action should the nurse take 1st

The omission of basic nurturing, acceptance, and caring of a child is considered

Mrs. Jones believes there are changes in her facial appearance (drooping) Which cranial nerve is affected

During an assessment the nurse notes a small palpable lesion with a visible tuft of hair in the midline over the coccyx.

To evaluate stereognosis, a nurse should ask the client to close his eyes and identify what?

Which of the following is a normal abdominal assessment finding

When performign a respiratory assessment, a nurse notes lung sounds closer to throat are louder. How is this described?

Which part of her hands should a nurse use during palpation of the client's skin?

A 30-year-old woman complains of "pain in my bottom when I have a bowel movement." The nurse should assess for

A nurse suspects that a school aged child is being abused by his parents. He is seated. Which action is appropriate?

The term health refers to

A patient reports pain with internal rotation of her shoulder. This will affect the patient's ability to perform what?

A nurse instructs a group of teachers about the importance of offering nutrient-dense foods to children. This is

Which is the most important source of learning for a child's own spiritual needs?

A nurse is caring for a client who has the same religious beliefs. The nurse should recognize that

According to Maslow's Hierachy of Needs which needs are most basic?

During auscultation of breath sounds, the nurses listens correctly as follows

A 77-year-old patient complains about being "very tired" all the time. What is the best way to assess the patient

The landmarks for an apical pulse are?

A 19 yr old patient who is sexually active comes in. Which of the following should the nurse do to determine HP & DP

An older adult is dealing with several issues. Which of the following problems verbalized by a client should be priority

When palpating cervical lymph nodes the nurse notices they are firm but freely movable. This is normal and expected

A staff nurse asks a student nurse "why in the world are you studying theory" how should the student respond?

In a medical record the tonsils are graded 3+. The nurse would expect the tonsils to be

The nurse suspects that a pt has carpal tunnel and performs the phalen's test. To perform this, the patien will