Question 11 pts The nurse is performing a general survey. Which action is a component of the general survey? Group of answer choices Observing the patient’s body stature and nutritional status
Question 11 pts
The nurse is performing a general survey. Which action is a component of the general survey?
Group of answer choices
Observing the patient’s body stature and nutritional status
Interpreting the subjective information the patient has reported
Measuring the patient’s temperature, pulse, respirations, and blood pressure
Observing specific body systems while performing the physical assessment
Flag question: Question 2Question 21 pts
The nurse is assessing an 80-year-old male patient. Which assessment findings would be considered normal?
Group of answer choices
Increase in body weight from his younger years
Additional deposits of fat in the cheeks and forearms
Presence of kyphosis and flexion in bilateral knees and hips
Change in overall body proportion, including a longer trunk and shorter extremities
Flag question: Question 3Question 31 pts
In a patient with acromegaly, which assessment finding will the nurse expect to find?
Group of answer choices
Sternal deformity and hyperextensible joints
Growth retardation and a delayed onset of puberty
Overgrowth of bone in the face, head, hands, and feet
Increased height and weight and delayed sexual development
Flag question: Question 4Question 41 pts
During an examination, the nurse notices that a female patient has a round “moon” face, central trunk obesity, and a cervical hump. Her skin is fragile with bruises. The nurse determines that the patient likely has which condition?
Group of answer choices
Gigantism
Acromegaly
Cushing syndrome
Marfan syndrome
Flag question: Question 5Question 51 pts
The nurse is preparing to measure the length, weight, chest, and head circumference of a 6-month-old infant. Which measurement technique is correct?
Group of answer choices
Measuring the infant’s length by using a tape measure
Weighing the infant by placing him or her on an electronic standing scale
Measuring the chest circumference at the nipple line with a tape measure
Measuring the head circumference by wrapping the tape measure over the nose and cheekbones
Flag question: Question 6Question 61 pts
A 60-year-old male patient has been treated for pneumonia for the past 6 weeks. He is seen today in the clinic for an “unexplained” weight loss of 10 pounds over the last 6 weeks. Which is an appropriate rationale for this patient’s weight loss?
Group of answer choices
Chronic diseases such as hypertension cause weight loss.
Weight loss is probably the result of unhealthy eating habits.
Unexplained weight loss often accompanies short-term illnesses.
Weight loss is probably the result of a mental health dysfunction.
Flag question: Question 7Question 71 pts
Which of these specific measurements is the best index of a child’s general health?
Group of answer choices
Body mass index
Height and weight
Head circumference
Chest circumference
Flag question: Question 8Question 81 pts
When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair. How should the nurse interpret these findings?
Group of answer choices
Assume that the patient is eager and interested in participating in the interview.
Evaluate the patient for abdominal pain, which may be exacerbated in the sitting position.
Assume that the patient is having difficulty breathing and assist him to a supine position.
Recognize that a tripod position is often used when a patient is having respiratory difficulties.
Flag question: Question 9Question 91 pts
The nurse is assessing an 8-year-old child whose growth rate measures below the third percentile for a child his age. He appears significantly younger than his stated age and is chubby with infantile facial features. Which condition does this child likely have?
Group of answer choices
Acromegaly
Marfan syndrome
Hypopituitary dwarfism
Achondroplastic dwarfism
Flag question: Question 10Question 101 pts
Which of these guidelines should a nurse follow when measuring a patient’s weight?
Group of answer choices
The patient is always weighed wearing only his or her undergarments.
The type of scale does not matter, as long as the weights are similar from day to day.
The patient may leave on his or her jacket and shoes as long as these are documented next to the weight.
Attempts should be made to weigh the patient at approximately the same time of day, if a sequence of weights is necessary.
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