This quiz, titled 'Ch7 General Survey', assesses a nurse's observational skills in evaluating a patient's physical appearance, mental status, mobility, and vital signs like blood pressure and pulse rate. It focuses on practical nursing assessments crucial for patient care.
Bradycardia
Thready pulse
Tachycardia
Rhythmic pulse
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Temperature – 97.4°F
Oxygen saturation – 95%
Respiratory rate – 17
Blood pressure – 156/94
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Mental status
Physical appearance
Mobility
Age-related considerations
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True
False
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Physical appearance
Mental status
Mobility
Behavior
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Document it in the medical record.
Contact the primary care physician.
Send an order for the medications to the pharmacy.
Nothing. This is typical for clients in this age range.
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The client might have a self-image disturbance.
The client is lying.
The client is embarrassed about his/her weight.
The client hasn’t been weighed or measured in a long time.
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“Being overweight contributes to the development of diabetes.”
“Do your family members have health problems related to being overweight?”
“Being the lightest in your family must make you feel good.”
“How do you feel about being 20 pounds overweight?”
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The temperature elevation is due to a diurnal variation.
The client is ovulating.
The client is stressed.
The client has an underlying illness not yet diagnosed.
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Tympanic
Rectal
Axillary
Oral
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A reduced heart rate
An elevated heart rate
A heart rate that is the same as her resting heart rate
An irregular heart rate
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Respiratory rate of 30 to 80 per minute
Respiratory rate of 20 to 40 per minute
Respiratory rate of 15 to 20 per minute
Respiratory rate of 8 to 10 per minute
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Ensure that the correct cuff size was used to measure this blood pressure.
Place the client in a standing position.
Call the physician.
Nothing. Extremely low blood pressures are normal in the elderly.
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Phase 1
Phase 3
Phase 4
Phase 5
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The client takes pain medication routinely.
The pain doesn’t interfere with normal activities of daily living.
The client uses work to cope with the pain.
The client is stoic.
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“Tell me what your pain level is right now.”
“I see that you are moving better.”
“Did you stop taking your pain medication again?”
“The doctor isn’t going to be happy to see how much pain you are in.”
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Quiz Review Timeline (Updated): Mar 22, 2023 +
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