The nurse is performing a general survey. Which action is a component of the general survey?
a. Observing the patient's body stature and nutritional status
b. Interpreting the subjective information the patient has reported
c. Measuring the patient's temperature, pulse, respirations, and blood pressure
d. Observing specific body systems while performing the physical assessment
ANS: A
The general survey is a study of the whole person that includes observing the patient's physical appearance, body structure, mobility, and behavior.
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A patient asks the nurse about free radicals and how they contribute to illness. How should the nurse respond?
1. "Free radicals are cells also known as natural killer cells." 2. "Free radicals are bad substances that clog the liver so it cannot get rid of body toxins." 3. "Free radicals are substances that develop when we don't breathe deeply enough." 4. "Free radicals are produced naturally in cells but can be harmful if their balance in the body is not maintained."
How often should the nurse perform a general assessment of the patient?
a. At least every 4 hours b. As often as it is needed c. When the patient requests it d. At the rate set by agency policy
Which nursing action is best when teaching adolescent health promotion and health maintenance topics?
1. Contacting the parents and asking what issues they have with their adolescents 2. Having the adolescents identify a personal health goal 3. Asking the advice of the counselors at school 4. Telling the adolescents information that will be included in the lecture
You are the team leader on the unit during the night shift. The staff on your unit enjoys their work and has good working relationships with each other. Often they are heard laughing loudly while walking down the hall
Which of the following actions on your part provides for the most effective and quality patient care? A) Take no action; a cohesive staff will provide professional patient care. B) Check with the patients to make sure no one is distracted by the laughter. C) Initiate a disciplinary action against the loud staff because they are not adhering to ethical standards of practice. D) Remind the staff to keep volume at a minimum, considering most patients are trying to sleep.