When conducting a physical assessment, what should the nurse assess and document about size and shape of body parts?
A) actual measurements in centimeters
B) symmetry (comparison of bilateral body parts)
C) indications of general health status
D) vital signs of all extremities (arms and legs)
B
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The term used to describe the functional capabilities of various organ systems in the body is:
1. psychological age. 2. social age. 3. biologic age. 4. chronological age.
The nurse is aware of the goal of "Patient will eat at least 50% of all meals." The nurse has observed the patient eating over 50% of all meals for 2 days. The evaluation statement should read:
1. ate well for all meals. 2. resolved: goal met. 3. goal met: patient ate 50% of all meals on 7/12 and 7/13. 4. ate 50% of meals.
A male client has been diagnosed with metastatic breast cancer. The nurse would understand that this client most likely may have feelings of sexual inadequacy because
a. breast cancer is a "female" disease. b. decreased libido is common in male breast cancer clients. c. radiation therapy produces unwanted skin side effects. d. treatment includes medical orchiectomy.
The Certified Nursing Assistant (CNA) caring for an older adult asks if the yellow, waxy, crusty lesions on the patient's axilla and groin are contagious. Which response shows the nurse's understanding for the cause of the lesions?
a. "Yes. It is cellulitis caused by bacteria." b. "No. It is seborrheic dermatitis caused by excessive sebum." c. "Yes. It is an indication of scabies." d. "No. It is the lesion seen with basal cell carcinoma."