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Nursing Test 2 - 2
Nursing Test 2 - 2 Questions
Question | Answer |
---|---|
To begin a comprehensive physical examination how should you position your client? | Seat the client on the side of the bed or examination table. Face the client and establish eye contact. This helps to build rapport and put the client at ease. |
What should you do if your client is unable to sit? | Assist him to a position on his back with the head of the bed elevated. |
What does an upright position allow? | It allows the client to expand his lungs fully and is useful for assessing vital signs, the head and neck, the heart and lungs, the back, and the upper extremities. |
What adjustment would a client with a cervical spine problem need. | He would need a neck roll when lying supine. |
The sitting position is used to assess what? | Vital signs, head and neck, chest, cardiovascular system, and breasts. |
The supine position is used to assess what? | The abdomen, breasts, extremities, and pulses. |
The dorsal recumbent position is used to assess what? | Abdominal assessment if your client has abdominal or pelvic pain. Flexing the knees promotes relaxation of the abdominal muscles. |
The lithotomy position is used to assess what? | For female pelvic exam. |
The sims' position is used to assess what? | To examine the rectal area. Use for female pelvic exam if the patient is unable to assume the lithotomy position. |
When don't you use the sims' postion? | When a patient has had a total hip replacement. |
The prone position is used to assess what? | Examine the musculoskeletal system, may also be used to examine the back and buttocks. May be difficult to assume with clients with respiratory problems. |
The lateral recumbent position is used to assess what? | To evaluate heart murmur or during a thorough cardiovascular assessment. This position brings the heart closer to the chest wall. If the client can't assume this position, listen to the heart with the client seated and bending forward. |
The knee-chest position is used to assess what? | Good visualization for rectal area. It is not normally used because it is embarrassing and uncomfortable for the client. |
The standing position is used to assess what? | The musculoskeletal and neurological systems. To assess gait and cerebellar function. |