When performing a physical examination, what approach is most important for the nurse to use?

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Question 1 of 5

When performing a physical examination, what approach is most important for the nurse to use?

Correct Answer: B

Rationale: The correct answer is 'The same systematic, efficient sequence for all examinations.' Consistency ensures thoroughness and reduces the likelihood of missing critical details.

Question 2 of 5

The patient asks when she should take bisphosphonate medications for treatment of osteoporosis. You tell her

Correct Answer: C

Rationale: Bisphosphonates require specific administration guidelines to enhance absorption.

Question 3 of 5

A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take?

Correct Answer: B

Rationale: The correct answer is B: Inspect the mouth for signs of inhalation injuries. This is the priority action because inhalation injuries can be life-threatening due to airway compromise. The nurse should assess for soot in the mouth, facial burns, hoarseness, and difficulty breathing. This allows for prompt intervention if respiratory distress is present. A: Inserting an indwelling urinary catheter is not the priority as it does not address the immediate life-threatening issue. C: Administering pain medication is important but not the priority over assessing for inhalation injuries which could lead to respiratory distress. D: Drawing blood for a CBC count is not the priority as it does not address the immediate threat to the client's airway.

Question 4 of 5

When assessing a client with a pneumothorax and a chest tube, which finding should the nurse notify the provider about?

Correct Answer: A

Rationale: Step 1: Movement of the trachea toward the unaffected side indicates tension pneumothorax, a life-threatening condition requiring immediate intervention. Step 2: This finding can lead to compromised breathing and hemodynamic instability if not addressed promptly. Step 3: B: Bubbling in the water seal chamber with exhalation is expected in a properly functioning chest tube system. Step 4: C: Crepitus at the insertion site is common due to air entering subcutaneous tissue during tube placement and is not an urgent concern. Step 5: D: Eyelets not visible can indicate dislodgement but is not as critical as tracheal deviation in this scenario.

Question 5 of 5

A male nurse would be providing culturally competent care by requesting that a female nurse provide the care for which patient?

Correct Answer: C

Rationale: In Arab culture, modesty and gender roles dictate that female caregivers attend to women, especially regarding intimate care.

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