In your role as a school nurse, you are performing a sports physical on a healthy adolescent girl who is planning to try out for the volleyball team. When it comes time to listen to the students heart and lungs, what is your best nursing action? s

Correct Answer: D

Rationale: The correct answer is D: Perform auscultation with the diaphragm placed firmly on her skin to minimize extraneous noise. This is the best nursing action because placing the diaphragm firmly on the skin allows for clear and accurate listening of heart and lung sounds without interference from clothing or external noises. By ensuring direct skin contact, the nurse can accurately assess the adolescent's cardiovascular and respiratory status. Choice A is incorrect because listening through clothing can muffle or distort sounds, leading to inaccurate assessment. Choice B is incorrect as holding the diaphragm lightly on clothing can also lead to poor sound transmission and hinder proper assessment. Choice C is an incomplete option. In summary, the correct answer, D, promotes accurate assessment by minimizing extraneous noise and ensuring optimal contact for clear auscultation of heart and lung sounds. Choices A, B, and C are incorrect as they may compromise the accuracy of the assessment by introducing interference and reducing clarity of the sounds.

Correct Answer: B

Rationale: Step-by-step rationale for why answer B is correct: 1. Privacy and accuracy: Storing patient information on a computer allows for better organization and security compared to pen and paper. 2. Accessibility: Electronic records can be easily accessed and updated by authorized personnel. 3. Efficiency: Retrieving and sharing patient data is quicker and more efficient with digital records. 4. Compliance: Using electronic health records aligns with modern healthcare standards and regulations. 5. Patient care: By maintaining accurate and easily accessible records, healthcare providers can deliver better and more coordinated care. Summary of why other choices are incorrect: A: Focuses on patient care and cost reduction, not directly addressing the family's concerns about technology use. C: Appeals to common practice and technology trends, but does not address the family's specific concerns about their beliefs. D: Incomplete answer, no rationale provided.

Correct Answer: C

Rationale: The correct answer is C: Culturally sensitive materials, such as the Mediterranean Pyramid. This choice is the most appropriate because it takes into consideration the patient's cultural background, which is Greek. The Mediterranean diet is well-known for its health benefits and is a suitable dietary recommendation for a Greek elderly woman. Referring to the Mediterranean Pyramid ensures that the dietary recommendations align with the patient's cultural preferences and traditions. Choice A (The U.S. Department of Agriculture's MyPlate) is incorrect because it provides general dietary guidelines but may not be culturally tailored for a Greek individual. Choice B (Evidence-based resources on nutritional assessment) is also incorrect as it focuses on assessment rather than specific dietary recommendations based on the patient's cultural background. Choice D (A Greek cookbook that contains academic references) is not the best option as it may not provide a comprehensive and balanced dietary plan suitable for the patient's health needs.

Correct Answer: B

Rationale: The correct answer is B: Allergies. When completing a family history, it is important to inquire about allergies as they can impact the patient's current health condition and treatment options. Allergies are known to trigger exacerbations in chronic conditions. Alcoholism (choice C) and Psoriasis (choice D) may be relevant to the patient's overall health but are not directly related to exacerbation of chronic respiratory conditions. Therefore, the nurse should prioritize asking about allergies to gather crucial information for the patient's care.

Correct Answer: C

Rationale: The correct answer is C: Thyroid gland. During a comprehensive health assessment, the nurse can best assess the thyroid gland by palpation. Palpating the thyroid gland allows the nurse to feel for any abnormalities such as enlargement or nodules. This is important in assessing for thyroid disorders like hyperthyroidism or hypothyroidism. Palpation of the intestines, gall bladder, and pancreas is not typically done during a routine health assessment as these structures are deep within the abdomen and not easily palpable. Thyroid gland palpation is a standard part of a head and neck assessment and provides valuable information about the patient's thyroid health.