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Nursing
Q:
The nurse knows that one advantage of the tympanic membrane thermometer (TMT) is that:
a. Rapid measurement is useful for uncooperative younger children.
b. Using the TMT is the most accurate method for measuring body temperature in newborn infants.
c. Measuring temperature using the TMT is inexpensive.
d. Studies strongly support the use of the TMT in children under the age 6 years.
Q:
The nurse is preparing to measure the length, weight, chest, and head circumference of a 6-month-old infant. Which measurement technique is correct?
a. Measuring the infant's length by using a tape measure
b. Weighing the infant by placing him or her on an electronic standing scale
c. Measuring the chest circumference at the nipple line with a tape measure
d. Measuring the head circumference by wrapping the tape measure over the nose and cheekbones
Q:
The nurse should measure rectal temperatures in which of these patients?
a. School-age child
b. Older adult
c. Comatose adult
d. Patient receiving oxygen by nasal cannula
Q:
The nurse is assessing an 80-year-old male patient. Which assessment findings would be considered normal?
a. Increase in body weight from his younger years
b. Additional deposits of fat on the thighs and lower legs
c. Presence of kyphosis and flexion in the knees and hips
d. Change in overall body proportion, including a longer trunk and shorter extremities
Q:
A 1-month-old infant has a head measurement of 34 cm and has a chest circumference of 32 cm. Based on the interpretation of these findings, the nurse would:
a. Refer the infant to a physician for further evaluation.
b. Consider these findings normal for a 1-month-old infant.
c. Expect the chest circumference to be greater than the head circumference.
d. Ask the parent to return in 2 weeks to re-evaluate the head and chest circumferences.
Q:
During an examination of a child, the nurse considers that physical growth is the best index of a child's:
a. General health.
b. Genetic makeup.
c. Nutritional status.
d. Activity and exercise patterns.
Q:
A patient's weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood pressure falls within which blood pressure category?
a. Normal blood pressure
b. Prehypertension
c. Stage 1 hypertension
d. Stage 2 hypertension
Q:
When measuring a patient's 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.
Q:
The nurse is performing a general survey. Which action is a component of the general survey?
a. Observing the patient's body stature and nutritional status
b. Interpreting the subjective information the patient has reported
c. Measuring the patient's temperature, pulse, respirations, and blood pressure
d. Observing specific body systems while performing the physical assessment
Q:
The nurse is reviewing percussion techniques with a newly graduated nurse. Which technique, if used by the new nurse, indicates that more review is needed?
a. Percussing once over each area
b. Quickly lifting the striking finger after each stroke
c. Striking with the fingertip, not the finger pad
d. Using the wrist to make the strikes, not the arm
Q:
The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to assess the __________ of the underlying tissue.
a. Turgor
b. Texture
c. Density
d. Consistency
Q:
The nurse would use bimanual palpation technique in which situation?
a. Palpating the thorax of an infant
b. Palpating the kidneys and uterus
c. Assessing pulsations and vibrations
d. Assessing the presence of tenderness and pain
Q:
The nurse is preparing to assess a patient's abdomen by palpation. How should the nurse proceed?
a. Palpation of reportedly "tender" areas are avoided because palpation in these areas may cause pain.
b. Palpating a tender area is quickly performed to avoid any discomfort that the patient may experience.
c. The assessment begins with deep palpation, while encouraging the patient to relax and to take deep breaths.
d. The assessment begins with light palpation to detect surface characteristics and to accustom the patient to being touched.
Q:
Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
Q:
The nurse is assessing a patient's skin during an office visit. What part of the hand and technique should be used to best assess the patient's skin temperature?
a. Fingertips; they are more sensitive to small changes in temperature.
b. Dorsal surface of the hand; the skin is thinner on this surface than on the palms.
c. Ulnar portion of the hand; increased blood supply in this area enhances temperature sensitivity.
d. Palmar surface of the hand; this surface is the most sensitive to temperature variations because of its increased nerve supply in this area.
Q:
The nurse is preparing to perform a physical assessment. Which statement is true about the physical assessment? The inspection phase:
a. Usually yields little information.
b. Takes time and reveals a surprising amount of information.
c. May be somewhat uncomfortable for the expert practitioner.
d. Requires a quick glance at the patient's body systems before proceeding with palpation.
Q:
When performing a physical assessment, the first technique the nurse will always use is:
a. Palpation.
b. Inspection.
c. Percussion.
d. Auscultation.
Q:
The nurse is preparing to palpate the thorax and abdomen of a patient. Which of these statements describes the correct technique for this procedure? Select all that apply.
a. Warm the hands first before touching the patient.
b. For deep palpation, use one long continuous palpation when assessing the liver.
c. Start with light palpation to detect surface characteristics.
d. Use the fingertips to examine skin texture, swelling, pulsation, and presence of lumps.
e. Identify any tender areas, and palpate them last.
f. Use the palms of the hands to assess temperature of the skin.
Q:
During auscultation of a patient's heart sounds, the nurse hears an unfamiliar sound. The nurse should:
a. Document the findings in the patient's record.
b. Wait 10 minutes, and auscultate the sound again.
c. Ask the patient how he or she is feeling.
d. Ask another nurse to double check the finding.
Q:
The nurse is preparing to examine a 6-year-old child. Which action is most appropriate?
a. The thorax, abdomen, and genitalia are examined before the head.
b. Talking about the equipment being used is avoided because doing so may increase the child's anxiety.
c. The nurse should keep in mind that a child at this age will have a sense of modesty.
d. The child is asked to undress from the waist up.
Q:
During an examination of a patient's abdomen, the nurse notes that the abdomen is rounded and firm to the touch. During percussion, the nurse notes a drumlike quality of the sounds across the quadrants. This type of sound indicates:
a. Constipation.
b. Air-filled areas.
c. Presence of a tumor.
d. Presence of dense organs.
Q:
While auscultating heart sounds, the nurse hears a murmur. Which of these instruments should be used to assess this murmur?
a. Electrocardiogram
b. Bell of the stethoscope
c. Diaphragm of the stethoscope
d. Palpation with the nurse's palm of the hand
Q:
When examining an infant, the nurse should examine which area first?
a. Ear
b. Nose
c. Throat
d. Abdomen
Q:
The nurse is preparing to assess a hospitalized patient who is experiencing significant shortness of breath. How should the nurse proceed with the assessment?
a. The patient should lie down to obtain an accurate cardiac, respiratory, and abdominal assessment.
b. A thorough history and physical assessment information should be obtained from the patient's family member.
c. A complete history and physical assessment should be immediately performed to obtain baseline information.
d. Body areas appropriate to the problem should be examined and then the assessment completed after the problem has resolved.
Q:
Which of these statements is true regarding the use of Standard Precautions in the health care setting?
a. Standard Precautions apply to all body fluids, including sweat.
b. Use alcohol-based hand rub if hands are visibly dirty.
c. Standard Precautions are intended for use with all patients, regardless of their risk or presumed infection status.
d. Standard Precautions are to be used only when nonintact skin, excretions containing visible blood, or expected contact with mucous membranes is present.
Q:
The most important step that the nurse can take to prevent the transmission of microorganisms in the hospital setting is to:
a. Wear protective eye wear at all times.
b. Wear gloves during any and all contact with patients.
c. Wash hands before and after contact with each patient.
d. Clean the stethoscope with an alcohol swab between patients.
Q:
When examining an older adult, the nurse should use which technique?
a. Avoid touching the patient too much.
b. Attempt to perform the entire physical examination during one visit.
c. Speak loudly and slowly because most aging adults have hearing deficits.
d. Arrange the sequence of the examination to allow as few position changes as possible.
Q:
When examining a 16-year-old male teenager, the nurse should:
a. Discuss health teaching with the parent because the teen is unlikely to be interested in promoting wellness.
b. Ask his parent to stay in the room during the history and physical examination to answer any questions and to alleviate his anxiety.
c. Talk to him the same manner as one would talk to a younger child because a teen's level of understanding may not match his or her speech.
d. Provide feedback that his body is developing normally, and discuss the wide variation among teenagers on the rate of growth and development.
Q:
The nurse is preparing to examine a 4-year-old child. Which action is appropriate for this age group?
a. Explain the procedures in detail to alleviate the child's anxiety.
b. Give the child feedback and reassurance during the examination.
c. Do not ask the child to remove his or her clothes because children at this age are usually very private.
d. Perform an examination of the ear, nose, and throat first, and then examine the thorax and abdomen.
Q:
With which of these patients would it be most appropriate for the nurse to use games during the assessment, such as having the patient "blow out" the light on the penlight?
a. Infant
b. Preschool child
c. School-age child
d. Adolescent
Q:
The nurse is examining a 2-year-old child and asks, "May I listen to your heart now?" Which critique of the nurse's technique is most accurate?
a. Asking questions enhances the child's autonomy
b. Asking the child for permission helps develop a sense of trust
c. This question is an appropriate statement because children at this age like to have choices
d. Children at this age like to say, "No." The examiner should not offer a choice when no choice is available
Q:
A 2-year-old child has been brought to the clinic for a well-child checkup. The best way for the nurse to begin the assessment is to:
a. Ask the parent to place the child on the examining table.
b. Have the parent remove all of the child's clothing before the examination.
c. Allow the child to keep a security object such as a toy or blanket during the examination.
d. Initially focus the interactions on the child, essentially ignoring the parent until the child's trust has been obtained.
Q:
A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently sleeping. What should the nurse do first when beginning the examination?
a. Auscultate the lungs and heart while the infant is still sleeping.
b. Examine the infant's hips, because this procedure is uncomfortable.
c. Begin with the assessment of the eye, and continue with the remainder of the examination in a head-to-toe approach.
d. Wake the infant before beginning any portion of the examination to obtain the most accurate assessment of body systems.
Q:
When preparing to perform a physical examination on an infant, the nurse should:
a. Have the parent remove all clothing except the diaper on a boy.
b. Instruct the parent to feed the infant immediately before the examination.
c. Encourage the infant to suck on a pacifier during the abdominal examination.
d. Ask the parent to leave the room briefly when assessing the infant's vital signs.
Q:
The nurse is examining an infant and prepares to elicit the Moro reflex at which time during the examination?
a. When the infant is sleeping
b. At the end of the examination
c. Before auscultation of the thorax
d. Halfway through the examination
Q:
The nurse keeps in mind that the most important reason to share information and to offer brief teaching while performing the physical examination is to help the:
a. Examiner feel more comfortable and to gain control of the situation.
b. Examiner to build rapport and to increase the patient's confidence in him or her.
c. Patient understand his or her disease process and treatment modalities.
d. Patient identify questions about his or her disease and the potential areas of patient education.
Q:
During the examination, offering some brief teaching about the patient's body or the examiner's findings is often appropriate. Which one of these statements by the nurse is most appropriate?
a. "Your atrial dysrhythmias are under control."
b. "You have pitting edema and mild varicosities."
c. "Your pulse is 80 beats per minute, which is within the normal range."
d. "I"m using my stethoscope to listen for any crackles, wheezes, or rubs."
Q:
The nurse is examining a patient's lower leg and notices a draining ulceration. Which of these actions is most appropriate in this situation?
a. Washing hands, and contacting the physician
b. Continuing to examine the ulceration, and then washing hands
c. Washing hands, putting on gloves, and continuing with the examination of the ulceration
d. Washing hands, proceeding with rest of the physical examination, and then continuing with the examination of the leg ulceration
Q:
When performing a physical examination, safety must be considered to protect the examiner and the patient against the spread of infection. Which of these statements describes the most appropriate action the nurse should take when performing a physical examination?
a. Washing one's hands after removing gloves is not necessary, as long as the gloves are still intact.
b. Hands are washed before and after every physical patient encounter.
c. Hands are washed before the examination of each body system to prevent the spread of bacteria from one part of the body to another.
d. Gloves are worn throughout the entire examination to demonstrate to the patient concern regarding the spread of infectious diseases.
Q:
A man is at the clinic for a physical examination. He states that he is "very anxious" about the physical examination. What steps can the nurse take to make him more comfortable?
a. Appear unhurried and confident when examining him.
b. Stay in the room when he undresses in case he needs assistance.
c. Ask him to change into an examining gown and to take off his undergarments.
d. Defer measuring vital signs until the end of the examination, which allows him time to become comfortable.
Q:
The nurse is preparing to perform a physical assessment. The correct action by the nurse is reflected by which statement? The nurse:
a. Performs the examination from the left side of the bed.
b. Examines tender or painful areas first to help relieve the patient's anxiety.
c. Follows the same examination sequence, regardless of the patient's age or condition.
d. Organizes the assessment to ensure that the patient does not change positions too often.
Q:
The nurse is unable to palpate the right radial pulse on a patient. The best action would be to:
a. Auscultate over the area with a fetoscope.
b. Use a goniometer to measure the pulsations.
c. Use a Doppler device to check for pulsations over the area.
d. Check for the presence of pulsations with a stethoscope.
Q:
An examiner is using an ophthalmoscope to examine a patient's eyes. The patient has astigmatism and is nearsighted. The use of which of these techniques would indicate that the examination is being correctly performed?
a. Using the large full circle of light when assessing pupils that are not dilated
b. Rotating the lens selector dial to the black numbers to compensate for astigmatism
c. Using the grid on the lens aperture dial to visualize the external structures of the eye
d. Rotating the lens selector dial to bring the object into focus
Q:
The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope? The otoscope:
a. Is often used to direct light onto the sinuses.
b. Uses a short, broad speculum to help visualize the ear.
c. Is used to examine the structures of the internal ear.
d. Directs light into the ear canal and onto the tympanic membrane.
Q:
The nurse will use which technique of assessment to determine the presence of crepitus, swelling, and pulsations?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation
Q:
Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should:
a. Warm the endpiece of the stethoscope by placing it in warm water.
b. Leave the gown on the patient to ensure that he or she does not get chilled during the examination.
c. Ensure that the bell side of the stethoscope is turned to the "on" position.
d. Check the temperature of the room, and offer blankets to the patient if he or she feels cold.
Q:
The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm:
a. Is used to listen for high-pitched sounds.
b. Is used to listen for low-pitched sounds.
c. Should be lightly held against the person's skin to block out low-pitched sounds.
d. Should be lightly held against the person's skin to listen for extra heart sounds and murmurs.
Q:
The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use?
a. Slope of the earpieces should point posteriorly (toward the occiput).
b. Although the stethoscope does not magnify sound, it does block out extraneous room noise.
c. Fit and quality of the stethoscope are not as important as its ability to magnify sound.
d. Ideal tubing length should be 22 inches to dampen the distortion of sound.
Q:
A patient has suddenly developed shortness of breath and appears to be in significant respiratory distress. After calling the physician and placing the patient on oxygen, which of these actions is the best for the nurse to take when further assessing the patient?
a. Count the patient's respirations.
b. Bilaterally percuss the thorax, noting any differences in percussion tones.
c. Call for a chest x-ray study, and wait for the results before beginning an assessment.
d. Inspect the thorax for any new masses and bleeding associated with respirations.
Q:
The nurse hears bilateral loud, long, and low tones when percussing over the lungs of a 4-year-old child. The nurse should:
a. Palpate over the area for increased pain and tenderness.
b. Ask the child to take shallow breaths, and percuss over the area again.
c. Immediately refer the child because of an increased amount of air in the lungs.
d. Consider this finding as normal for a child this age, and proceed with the examination.
Q:
The nurse is unable to identify any changes in sound when percussing over the abdomen of an obese patient. What should the nurse do next?
a. Ask the patient to take deep breaths to relax the abdominal musculature.
b. Consider this finding as normal, and proceed with the abdominal assessment.
c. Increase the amount of strength used when attempting to percuss over the abdomen.
d. Decrease the amount of strength used when attempting to percuss over the abdomen.
Q:
When percussing over the liver of a patient, the nurse notices a dull sound. The nurse should:
a. Consider this a normal finding.
b. Palpate this area for an underlying mass.
c. Reposition the hands, and attempt to percuss in this area again.
d. Consider this finding as abnormal, and refer the patient for additional treatment.
Q:
The nurse assesses an older woman and suspects physical abuse. Which questions are appropriate for screening for abuse? Select all that apply.
a. "Has anyone made you afraid, touched you in ways that you did not want, or hurt you physically?"
b. "Are you being abused?"
c. "Have you relied on people for any of the following: bathing, dressing, shopping, banking, or meals?"
d. "Have you been upset because someone talked to you in a way that made you feel shamed or threatened?"
e. "Have you relied on people for any of the following: bathing, dressing, shopping, banking, or meals?"
Q:
The nurse is examining a 3-year-old child who was brought to the emergency department after a fall. Which bruise, if found, would be of most concern?
a. Bruise on the knee
b. Bruise on the elbow
c. Bruising on the abdomen
d. Bruise on the shin
Q:
During an interview, a woman has answered "yes" to two of the Abuse Assessment Screen questions. What should the nurse say next?
a. "I need to report this abuse to the authorities."
b. "Tell me about this abuse in your relationship."
c. "So you were abused?"
d. "Do you know what caused this abuse?"
Q:
The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a leg injury. The best way to document the history and physical findings is to:
a. Document what the child's caregiver tells the nurse.
b. Use the words the child has said to describe how the injury occurred.
c. Record what the nurse observes during the conversation.
d. Rely on photographs of the injuries.
Q:
The nurse is assessing bruising on an injured patient. Which color indicates a new bruise that is less than 2 hours old?
a. Red
b. Purple-blue
c. Greenish-brown
d. Brownish-yellow
Q:
The nurse is using the danger assessment (DA) tool to evaluate the risk of homicide. Which of these statements best describes its use?
a. The DA tool is to be administered by law enforcement personnel.
b. The DA tool should be used in every assessment of suspected abuse.
c. The number of "yes" answers indicates the woman's understanding of her situation.
d. The higher the number of "yes" answers, the more serious the danger of the woman's situation.
Q:
A female patient has denied any abuse when answering the Abuse Assessment Screen, but the nurse has noticed some other conditions that are associated with IPV. Examples of such conditions include:
a. Asthma.
b. Confusion.
c. Depression.
d. Frequent colds.
Q:
When documenting IPV and elder abuse, the nurse should include:
a. Photographic documentation of the injuries.
b. Summary of the abused patient's statements.
c. Verbatim documentation of every statement made.
d. General description of injuries in the progress notes.
Q:
During an examination, the nurse notices a patterned injury on a patient's back. Which of these would cause such an injury?
a. Blunt force
b. Friction abrasion
c. Stabbing from a kitchen knife
d. Whipping from an extension cord
Q:
Which term refers to a wound produced by the tearing or splitting of body tissue, usually from blunt impact over a bony surface?
a. Abrasion
b. Contusion
c. Laceration
d. Hematoma
Q:
Which statement is best for the nurse to use when preparing to administer the Abuse Assessment Screen?
a. "We are required by law to ask these questions."
b. "We need to talk about whether you believe you have been abused."
c. "We are asking these questions because we suspect that you are being abused."
d. "We need to ask the following questions because domestic violence is so common in our society."
Q:
The nurse is aware that intimate partner violence (IPV) screening should occur with which situation?
a. When IPV is suspected
b. When a woman has an unexplained injury
c. As a routine part of each health care encounter
d. When a history of abuse in the family is known
Q:
During a home visit, the nurse notices that an older adult woman is caring for her bedridden husband. The woman states that this is her duty, she does the best she can, and her children come to help when they are in town. Her husband is unable to care for himself, and she appears thin, weak, and exhausted. The nurse notices that several of his prescription medication bottles are empty. This situation is best described by the term:
a. Physical abuse.
b. Financial neglect.
c. Psychological abuse.
d. Unintentional physical neglect.
Q:
As a mandatory reporter of elder abuse, which must be present before a nurse should notify the authorities?
a. Statements from the victim
b. Statements from witnesses
c. Proof of abuse and/or neglect
d. Suspicion of elder abuse and/or neglect
Q:
A patient visits the clinic to ask about smoking cessation. He has smoked heavily for 30 years and wants to stop "cold turkey." He asks the nurse, "What symptoms can I expect if I do this?" Which of these symptoms should the nurse share with the patient as possible symptoms of nicotine withdrawal? Select all that apply.
a. Headaches
b. Hunger
c. Sleepiness
d. Restlessness
e. Nervousness
f. Sweating
Q:
A patient with a known history of heavy alcohol use has been admitted to the ICU after he was found unconscious outside a bar. The nurse closely monitors him for symptoms of withdrawal. Which of these symptoms may occur during this time? Select all that apply.
a. Bradycardia
b. Coarse tremor of the hands
c. Transient hallucinations
d. Somnolence
e. Sweating
Q:
The nurse is reviewing aspects of substance abuse in preparation for a seminar. Which of these statements illustrates the concept of tolerance to an illicit substance? The person:
a. Has a physiologic dependence on a substance.
b. Requires an increased amount of the substance to produce the same effect.
c. Requires daily use of the substance to function and is unable to stop using it.
d. Experiences a syndrome of physiologic symptoms if the substance is not used.
Q:
A patient is brought to the emergency department. He is restless, has dilated pupils, is sweating, has a runny nose and tearing eyes, and complains of muscle and joint pains. His girlfriend thinks he has influenza, but she became concerned when his temperature went up to 39.4o C. She admits that he has been a heavy drug user, but he has been trying to stop on his own. The nurse suspects that the patient is experiencing withdrawal symptoms from which substance?a. Alcoholb. Heroinc. Crack cocained. Sedatives
Q:
The nurse has completed an assessment on a patient who came to the clinic for a leg injury. As a result of the assessment, the nurse has determined that the patient has at-risk alcohol use. Which action by the nurse is most appropriate at this time?
a. Record the results of the assessment, and notify the physician on call.
b. State, "You are drinking more than is medically safe. I strongly recommend that you quit drinking, and I"m willing to help you."
c. State, "It appears that you may have a drinking problem. Here is the telephone number of our local Alcoholics Anonymous chapter."
d. Give the patient information about a local rehabilitation clinic.
Q:
The nurse is asking an adolescent about illicit substance abuse. The adolescent answers, "Yes, I"ve used marijuana at parties with my friends." What is the next question the nurse should ask?
a. "Who are these friends?"
b. "Do your parents know about this?"
c. "When was the last time you used marijuana?"
d. "Is this a regular habit?"
Q:
During an assessment, the nurse asks a female patient, "How many alcoholic drinks do you have a week?" Which answer by the patient would indicate at-risk drinking?
a. "I may have one or two drinks a week."
b. "I usually have three or four drinks a week."
c. "I"ll have a glass or two of wine every now and then."
d. "I have seven or eight drinks a week, but I never get drunk."
Q:
When reviewing the use of alcohol by older adults, the nurse notes that older adults have several characteristics that can increase the risk of alcohol use. Which would increase the bioavailability of alcohol in the blood for longer periods in the older adult?
a. Increased muscle mass
b. Decreased liver and kidney functioning
c. Decreased blood pressure
d. Increased cardiac output
Q:
A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit. She asks the nurse, "How many drinks a day is safe for my baby?" The nurse's best response is:
a. "You should limit your drinking to once or twice a week."
b. "It's okay to have up to two glasses of wine a day."
c. "As long as you avoid getting drunk, you should be safe."
d. "No amount of alcohol has been determined to be safe during pregnancy."
Q:
During a session on substance abuse, the nurse is reviewing statistics with the class. For persons aged 12 years and older, which illicit substance was most commonly used?
a. Crack cocaine
b. Heroin
c. Marijuana
d. Hallucinogens
Q:
The nurse is conducting a class on alcohol and the effects of alcohol on the body. How many standard drinks (each containing 14 grams of alcohol) per day in men are associated with increased deaths from cirrhosis, cancers of the mouth, esophagus, and injuries?
a. 2
b. 4
c. 6
d. 8
Q:
The nurse is assessing a patient who has been admitted for cirrhosis of the liver, secondary to chronic alcohol use. During the physical assessment, the nurse looks for cardiac problems that are associated with chronic use of alcohol, such as:
a. Hypertension.
b. Ventricular fibrillation.
c. Bradycardia.
d. Mitral valve prolapse.
Q:
A woman has come to the clinic to seek help with a substance abuse problem. She admits to using cocaine just before arriving. Which of these assessment findings would the nurse expect to find when examining this woman?
a. Dilated pupils, pacing, and psychomotor agitation
b. Dilated pupils, unsteady gait, and aggressiveness
c. Pupil constriction, lethargy, apathy, and dysphoria
d. Constricted pupils, euphoria, and decreased temperature
Q:
The nurse is assessing a patient who is admitted with possible delirium. Which of these are manifestations of delirium? Select all that apply.a. Develops over a short period.b. Person is experiencing apraxia.c. Person is exhibiting memory impairment or deficits.d. Occurs as a result of a medical condition, such as systemic infection.e. Person is experiencing agnosia.