The nurse is inspecting a client's chest and upper extremities. Which of the following would be the appropriate method for the nurse to assess these body areas?
1. Examine the right arm, the chest, and then the left arm.
2. Examine the left arm, the chest, and then the right arm.
3. Examine the left arm, the right arm, and then the chest.
4. Examine the chest and examine the arms at the conclusion of the exam as the client is re-dressing.
3
Rationale 1: The nurse should compare the left and right arms before moving to the chest.
Rationale 2: The nurse should compare the left and right arms before moving to the chest.
Rationale 3: Inspection begins with a survey of the client's appearance and a comparison of the right and left sides of the body, which should be nearly symmetrical. The nurse should compare the left and right arms before moving to the chest.
Rationale 4: The nurse should give the client privacy at the conclusion of the physical assessment to re-dress.
You might also like to view...
Why do some researchers believe data regarding health behaviors may be inaccurate in relation to men?
a. Men are not socialized to tell the truth when interviewed. b. Men do not know when they are ill. c. Most of the data are collected about and from women. d. Most of the data are collected by women.
Throughout history, there have been cycles of nursing shortages. Which factor best describes a reason for the current shortage?
A) Sending nurses to other countries B) Downsizing the nursing staff for cost containment by hospitals C) The increased use of unlicensed assistive personnel to replace retiring nurses D) Increased early retirement of nurses due to earned benefits
Who enforces the Poison Prevention Act?
a. state Board of Pharmacy b. FDA c. Consumer Product Safety Commission d. OSHA
Identify a true statement about marijuana.
A. When marijuana is smoked, its effects can be felt only two to three hours later. B. The cannabinoids in marijuana are lipid-soluble compounds. C. Marijuana decreases the activity of the mesolimbic dopamine system. D. The most common route of administration of marijuana is smoking.