At what point during a complete health assessment do you ask the patient to undress and don the examination gown?
a. at the beginning before obtaining the health history
b. after assessing the neck and upper extremities
c. after assessing the patient's mental status
d. after obtaining the patient's anthropometric measurements
C
After assessing the patient's mental status, ask the patient to undress and don an examination gown. The health history can be taken fully clothed. Assessment of the neck and upper extremities requires that the patient be in an examination gown. This follows the assessment of the head, eyes, ear, nose, mouth, and throat. Measurements, including anthropometric measurements, are taken immediately after the mental status examination.
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After general anesthesia is administered, the patient is carefully placed in the prone position. What is the primary consideration of the nursing staff as the patient is positioned?
a. Making sure that the patient's endotracheal tube does not become kinked b. Ensuring that the patient's head is positioned to prevent cervical nerve injury c. Carefully taping the patient's eyes shut to avoid corneal abrasions d. Padding the operating table carefully and keeping linens free of wrinkles
Before preparing a teaching plan for the parents of an infant with ductus arteriosus, it is important that the nurse understands this condition. Which statement best describes patent ductus arteriosus?
a. Patent ductus arteriosus involves a defect that results in a right-to-left shunting of blood in the heart. b. Patent ductus arteriosus involves a defect in which the fetal shunt between the aorta and the pulmonary artery fails to close. c. Patent ductus arteriosus is a stenotic lesion that must be surgically corrected at birth. d. Patent ductus arteriosus causes an abnormal opening between the four chambers of the heart.
The nurse explains that the classic early warning symptom of a detached retina is:
a. tearing and swelling of the eye. b. flashing colored lights in the eye. c. bleeding into the anterior chamber. d. intense brow pain.
The nurse is heard stating to another staff member that, "the client in Room 54 is such a whiner; you would think she was dying." This nurse is liable of:
1. Libel 2. Slander 3. Malpractice 4. Invasion of privacy