During a health assessment of an older adult with multiple chronic health problems, the nurse practitioner is utilizing multiple assessment techniques, including percussion. What is the essential principle of percussion? t

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Question 1 of 5

During a health assessment of an older adult with multiple chronic health problems, the nurse practitioner is utilizing multiple assessment techniques, including percussion. What is the essential principle of percussion? t

Correct Answer: A

Rationale: The correct answer is A: To assess the sound created by the body. Percussion is a technique used to assess the density of underlying tissues by producing sounds. By tapping on the body surface, the nurse can evaluate the resonance, dullness, or flatness of different body parts. This helps in identifying abnormalities or fluid-filled areas within the body. Choice B is incorrect because percussion involves tapping, not striking, the body with a soft object. Choice C is incorrect because percussion is used to assess tissue density, not to create sound over dead spaces. Choice D is incorrect as percussion aims to produce sound, not vibration in a body wall.

Question 2 of 5

A school nurse at a middle school is planning a health promotion initiative for girls. The nurse has identified a need for nutritional teaching. What problem is most likely to relate to nutritional problems in girls of this age?

Correct Answer: A

Rationale: The correct answer is A: Protein intake in this age group often falls below recommended levels. During adolescence, girls experience rapid growth and development, requiring adequate protein intake for muscle and tissue growth. Inadequate protein intake can lead to growth issues, weakened immune system, and poor overall health. Protein is essential for hormone production and repair of body tissues, making it crucial during this stage. Choices B, C, and D are incorrect because insufficient total calorie intake can be a concern, but protein is specifically highlighted for growth and development during adolescence. Calcium intake being above recommended levels is unlikely and not typically associated with nutritional problems in girls of this age.

Question 3 of 5

A newly admitted patient has gained weight steadily over the past 2 years and the nurse recognizes the u need for a nutritional assessment. What assessment parameters are included when assessing a patients nutritional status? Select all that apply. N

Correct Answer: B

Rationale: The correct answer is B: BMI. BMI is a crucial parameter in assessing a patient's nutritional status as it indicates the relationship between weight and height, helping to determine if the patient is underweight, normal weight, overweight, or obese. It is a standardized measure widely used in clinical practice. Ethnicity (A) is not a direct assessment parameter for nutritional status, as different ethnic groups may have varying body compositions. Clinical examination findings (C) may provide valuable information, but they are not specific to nutritional status assessment alone. Wrist circumference (D) is not typically used as a primary parameter for nutritional assessment, as it may not accurately reflect overall nutritional status.

Question 4 of 5

A nurse who has practiced in the hospital setting for several years will now transition to a new role in the community. How does a physical assessment in the community vary in technique from physical t assessment in the hospital? r A

Correct Answer: D

Rationale: The correct answer is D because a physical assessment in the community varies in technique from that conducted in the hospital due to several factors. In the community setting, the nurse may not have access to the same equipment and resources available in a hospital, thus requiring adaptation of assessment methods. Additionally, the environment in the community may be less controlled compared to the hospital, leading to potential challenges in obtaining accurate assessments. Furthermore, cultural considerations, privacy issues, and patient comfort levels may differ in the community setting, necessitating a more flexible and patient-centered approach to conducting physical assessments. This highlights the importance of adjusting assessment techniques based on the context and resources available in the community setting. Choices A, B, and C are incorrect because they fail to acknowledge the unique challenges and considerations that come with conducting physical assessments in the community setting. Option A incorrectly assumes that the techniques used in the hospital can be directly applied in the community without adaptation. Option B incorrectly suggests that privacy is not a concern in the community setting,

Question 5 of 5

Which of the following is not considered monitoring? o

Correct Answer: D

Rationale: The correct answer is D because attributing changes in health outcomes to an intervention involves evaluating the effectiveness of an intervention, which goes beyond just monitoring. Monitoring involves observing and tracking patient data, health indicators, and progress over time. Choice A, B, and C are all considered monitoring as they involve collecting data and tracking various aspects of a patient's health status. Choice D, on the other hand, is more focused on analyzing and determining the impact of an intervention on health outcomes, which is a separate process from monitoring.

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