When performing an examination the nurse should consider a childs physical growth to be the best indicator of which aspect of health?

When performing an examination the nurse should consider a childs physical growth to be the best indicator of which aspect of health?

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Chapter09:GeneralSurveyandMeasurement

MULTIPLECHOICE

1.Thenurseisperformingageneralsurvey.Whichactionisacomponentofthegeneralsurvey?

a.Observingthepatientsbodystatureandnutritionalstatus

b.Interpretingthesubjectiveinformationthepatienthasreported

c.Measuringthepatients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patientsphysicalappearance,

bodystructure,mobility,andbehavior.

DIF:CognitiveLevel:Understanding(Comprehension)

MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare

2.Whenmeasuringapatientsweight,thenurseisawareofwhichoftheseguidelines?

a. Thepatientisalwaysweighedwearingonlyhisorherundergarments.

b.Thetypeofscaledoesnotmatter,aslongastheweightsaresimilarfromdaytoday.

c.Thepatientmayleaveonhisorherjacketandshoesaslongasthesearedocumentednexttothe

weight.

d.Attemptsshouldbemadetoweighthepatientatapproximatelythesametimeofday,ifasequence

ofweightsisnecessary.

ANS:D

Astandardizedbalancescaleisusedtomeasureweight.Thepatientshouldremovehisorhershoesandheavy

outerclothing.Ifasequenceofrepeatedweightsisnecessary,thenthenurseshouldattempttoweighthe

patientatapproximatelythesametimeofdayandwiththesametypesofclothingworneachtime.

DIF:CognitiveLevel:Understanding(Comprehension)

MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare

3.Duringanexaminationofachild,thenurseconsidersthatphysicalgrowthisthebestindexofachilds:

a. Generalhealth.

b.Geneticmakeup.

TestBank-PhysicalExaminationandHealthAssessment8e(byJarvis)111

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PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK

When examining an infant the nurse should examine which area first?

Perform an examination of the ear, nose, and throat first, and then examine the thorax and abdomen. 33.

Which technique is correct when the nurse is assessing the radial pulse?

Radial pulse To achieve the correct position, place two fingertips directly alongside the radial styloid, just to the inside (Fig 3, attached). Turn the patient's hand over to allow it to hang from your fingertips.

Which is the correct technique for measuring arm lengths?

To measure your arm length, start by standing up straight with your arms relaxed at your sides. Next, place one end of a measuring tape at the center of the back of your neck, then across the top of your shoulder and down the length of your arm.

Is performing a general survey which action is a component of the general survey?

Which action is a component of the general survey? (The general survey is a study of the whole person that includes observing the patient's physical appearance, body structure, mobility, and behavior. Interpreting subjective data is not part of the general survey.