The nurse plans to complete a physical examination of an alert, older patient. Which adaptations to the examination technique should the nurse include?
a. Avoid the use of touch as much as possible.
b. Use slightly more pressure for palpation of the liver.
c. Speak softly and slowly when talking with the patient.
d. Organize the sequence to minimize the position changes.
Question 2The nurse is preparing to perform a focused assessment for a patient complaining of shortness of breath. Which equipment will be needed?
a. Flashlight
b. Stethoscope
c. Tongue blades
d. Percussion hammer
Question 3The nurse who is assessing an older adult with rectal bleeding asks, Have you ever had a colonoscopy? The nurse is performing what type of assessment?
a. Focused assessment
b. Emergency assessment
c. Detailed health assessment
d. Comprehensive assessment
Question 4A nurse performs a health history and physical examination with a patient who has a right leg fracture. Which assessment would be a pertinent negative finding?
a. Patient has several bruised and swollen areas on the right leg.
b. Patient states that there have been no other recent health problems.
c. Patient refuses to bend the right knee because of the associated pain.
d. Patient denies having pain when the area over the fracture is palpated.
Question 5The nurse records the following general survey of a patient: The patient is a 50-year-old Asian female attended by her husband and two daughters. Alert and oriented.
Does not make eye contact with the nurse and responds slowly, but appropriately, to questions. No apparent disabilities or distinguishing features. What additional information should the nurse add to this general survey?
a. Nutritional status
b. Intake and output
c. Reasons for contact with the health care system
d. Comments of family members about his condition
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