A nurse is preparing to assess a patient's ability to detect vibrations. Which piece of equipment is appropriate for this assessment?
a. Reflex hammer
b. Tuning fork
c. Goniometer
d. Monofilament
ANS: B
You might also like to view...
A nurse is preparing to perform a physical assessment on a toddler. Which of these actions should the nurse take?
1. Explain each part of the examination to the child before performing it. 2. Ask the mother to tell the child not to be afraid. 3. Perform the assessment from head to toe. 4. Leave intrusive procedures, such as ear and eye examinations, until the end.
A teen is brought to the emergency room by a parent. The assessment reveals that the client has been acting strangely for the past three hours and is hypervigilant, grandiose, and irritable
Vital signs indicate hypertension, tachycardia, and some arrhythmias. The teen may have ingested: 1. Alcohol. 2. Crack. 3. Cocaine. 4. Amphetamines.
The nurse preceptor is giving a seminar about recognition and assessment of coping mechanisms found in older adult patients in crisis to a group of novice nurse. Which statement by the novice nurse indicates that the teaching has been effective?
1. "Older adult patients generally do not have well-established coping mechanisms." 2. "Older adult patients generally use physiological coping due to their advanced age." 3. "Older adult patients in crisis are more likely to suffer from a lack of social support." 4. "Older adult patients in crisis are more likely to suffer from a lack of belief-based coping."
A newly pregnant patient is being assessed in an obstetric clinic. The patient states that she has been experiencing intense abdominal pain and the nurse anticipates that the patient will be assessed for ectopic pregnancy
In addition to ultrasonography, what diagnostic test should the nurse anticipate? A) Computed tomography B) Human chorionic gonadotropin (hCG) testing C) Estrogen and progesterone testing D) Abdominal x-ray