The nurse would use which of the following skills first when examining the cardiovascular system of a patient?

Palpitation

Percussion

Auscultation

Inspection

Answer and Explanation

The Correct Answer is D

The nurse would use the skill of "inspection" first when examining the cardiovascular system of a patient. The inspection involves observing the patient's physical appearance, skin color, and breathing pattern. After inspection, the nurse would move on to palpation, percussion, and auscultation.

Palpation involves feeling for pulses and areas of tenderness, while percussion involves tapping the chest to assess the density of underlying tissues. Auscultation involves listening to heart sounds using a stethoscope.

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Correct Answer is D

Explanation

Nurses are mandated reporters, meaning they are legally required to report any suspected or confirmed cases of child, elder, or vulnerable adult abuse or neglect to the appropriate authorities, such as child protective services or adult protective services. This duty applies regardless of whether the abuse or neglect was disclosed by the victim or observed by the nurse.

While nurses may choose to involve family members or refer the individual to social services, these actions do not replace the legal obligation to report abuse or neglect. Failure to report can result in legal and professional consequences for the nurse.

A. Dietary history from patient B. Patient complaint of weight loss C. Body Mass Index (BMI) D. Patient history of alcohol intake

Correct Answer is C

Explanation

Objective data are measurable and observable findings that can be obtained through physical examination, laboratory tests, or other diagnostic procedures.

Option A is subjective data because it is information reported by the patient and may not be entirely accurate. Option Bis also subjective data because it is the patient's perception of their weight loss, which may not be an accurate reﬂection of actual weight loss.

Option Dis also subjective data because it relies on the patient's self-report of their alcohol intake, which may not be entirely accurate.

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The nurse would use which of the following skills first when examining the cardiovascular system of a patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When child, elder, or vulnerable adult abuse or neglect is disclosed, nurses:

Correct Answer is D

Explanation

The nurse is performing a nutritional assessment. Which of the following would be considered objective data?

Correct Answer is C

Explanation

The nurse is assessing the patient's range of motion. The nurse asks the patient to circumduct his arms. When the patient asks what this means, the nurse explains:

The nurse auscultates the client’s abdomen for 1 minute and does not hear any bowel sounds. What should the nurse do next?

When assessing the abdomen, the nurse would expect to auscultate which sounds?

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When assessing the patient’s ability to perform rapid altering movements, the nurse is observing the:

When assessing the anus, the nurse should inspect for: (Select all that apply)

Which of the following statements concerning breast examination is true?