When performing a history and physical assessment, the examiner should:
a. change the sequence of observation with each interview.
b. develop a sequence of standard observa-tions.
c. develop a preliminary diagnosis at the onset.
d. direct patient responses to fit the history sequence.
B
When performing a history and physical assessment, you should develop an approach that is comfortable to you and ensures comfort for the patient. Part of the history can be obtained while you are doing the physical examination.
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A nursing manager wants the unit staff to use evidence-based practice (EBP). To decrease barriers to using EBP, what actions by the manager are best? (Select all that apply.)
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The nurse administers a medication that stimulates the muscarinic receptors. What types of manifestations will the nurse assess in this patient that indicate the drug is working?
A) Pupil dilation B) Increased activity of bowel sounds C) Increased heart rate D) Muscle contractions
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A patient is brought to the emergency department with the following burn injuries: a blistered and reddened anterior trunk, reddened lower back, and pale, waxy anterior right arm
Calculate the extent of the burn injury (TBSA) using the rule of nines. _____ % Record your answer rounding to the nearest whole number.