Which of the following data are not part of your general inspection?

a. Dress and habitus
b. Sinus tenderness
c. Gait
d. Facial expression


B
On meeting the patient, the facial expression, gait, dress, and habitus should be inspected. In-specting for sinus tenderness is performed afterward, if indicated.

Nursing

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The patient is asymptomatic but is diagnosed with second-degree heart block Mobitz I. The patient is on digitalis medication at home. The nurse should expect that:

a. the patient has had an anterior wall myocardial infarction. b. the physician will order the digitalis to be continued in the hospital. c. a digitalis level would be ordered upon admission. d. the patient will require a transcutaneous pacemaker.

Nursing

The client has a mitral valve prolapse. Which of the following heart sounds should the nurse expect to auscultate with this client?

A. Rumbling apical diastolic murmur B. Midsystolic click and late systolic murmur C. An S3 coupled with a high-pitched systolic murmur D. Continuing, loud diastolic murmur radiating to the left axilla

Nursing

The nurse is preparing to assess a patient with an eating disorder. Which information source should the nurse recognize as presenting many societal influences on the perception of attractiveness, which is detrimental to the patient with an eating disorder?

1. Articles about eating disorders 2. Media that glamorizes thinness 3. Information about coping behaviors 4. Programs that emphasize good nutrition

Nursing

A 14-year-old girl is visiting the community health centre for "birth control help." Which one of the following is the most appropriate question the nurse could ask her to obtain the most information?

a. "Have you told your parents that you are sexually active?" b. "Are any of your friends participating in sexual behaviours?" c. "What can you tell me about your past sexual activities?" d. "Have you been protecting yourself with safe sex measures?"

Nursing