Health Assessment
Information verbalized by the client is known as....
What is subjective data
Cyanosis is defined as...
Grayish blue skin tone
Which pulse is best for assessing an infant?
What is the apical pulse
This type of anemia results from injury to or destruction of stem cells in the bone marrow or the bone marrow matrix, causing pancytopenia
Aplastic or hypoplastic anemia
The purpose of flushing a NG tube after enteral feeding is given is to....
Clear tubbing and prevent clogging
All the activities done with/for the patient after surgery that will decrease the complication of surgical interventions, and resume optimal health at the soonest possible time is known as
Post-operative care
Which of the following is a sign of impending death?
Labored Breathing
The apex of the heart is located at:
a) Second intercostal space to the right of the sternal border
b) Second intercostal space to the left of the sternal boarder
c) The left lower sternal border
d) The left side of the sternum at the fifth intercostal space by the midclavicular
d) The left side of the sternum at the fifth intercostal space by the midclavicular
During your routine assessment at your client, a client informs you that he has anemia and the doctor told him eating callaoo, and taking iron tablet is not going to be of much help. He need to get routine Vitamin B12 injection. You know this client is suffering from..
Pernicious or macrocytic anemia
A 36-year-old man presents to your clinic with complains of mid-epigastric pain that is exacerbated by spicy food. The doctor prescribes ranitidine for this client. What is the doctor suspecting?
GERD
Bringing home good grade on a math test and showing parents
A group of disorders characterized by inflammation and irritation of the mucous membranes of the nose as well as ocular symptoms.
Rhinitis
You are going to evaluate a 48-year-old patient who is smoker and has peripheral vascular disease (PVD) what would be your initial intervention?
a) Order a venogram
b) Check the pedal and posterior tibial pulses
c) Check the apical pulse
d) Order TED hose
b) Check the pedal and posterior tibial pulses
This type of anemia can only be confirmed by a bone aspiration.
Aplastic anemia
The highest priority nursing assessment prior to initiating Nasopharyngeal tube feeding is determining
Tube placement
During your assessment you instruct the patient to shrug his shoulders, which cranial nerve are you assessing?
XI-Accessory Cranial Nerve
Control of the respiratory system is dependent on ...
Muscular system
chemical regulation
Upon assessment of a healthy client, you receive a pulse reading of 52b/pm. You suspect the client has what type of dysrhythmia?
Sinus Bradycardia
A sickle client reports to your client in sickle distress..
Name one immediate management within your capacity.
Provide means of heating up the client.
Administer analgesic.
This digestive disease, is characterized by bulging, pouchlike herniations in the GI wall that pushes the mucosal lining through the surrounding muscle.
What is Diverticulosis
Asking a client to tip her head to one side and lightly forward, palpating either side of the trachea at the lower half of the neck, and then asking the client to swallow is the correct technique for examining?
The thyroid Gland
A CPN palpating along the medial edge of the sternocleidomastoid muscle of the neck is expected to feel which pulse?
The carotid Pulse
you are assessing the vital signs of a 92-year-old client. The radial pulse has an irregular beat about every fifth or sixth beat. The rate is 92 b/min. the client is asymptomatic. Your next step should be to…
Check an apical pulse for 60-sec and note any pulse deficits
Mr. P blood results are in, you observed that his sickling test shows a genic abnormality HbsA. What does this mean for Mr. P?
He does not have sickle cell but is a carrier of the sickle gene.
The umbilicus region is a common site for what type of referred pain?
Small intestinal pain