11 pts The nurse is performing a

11 pts The nurse is performing a general survey. Which action is a component of the general survey? Group of answer choices Observing the patient’s body stature and nutritional status Interpreting the subjective information the patient has reported Measuring the patient’s temperature, pulse, respirations, and blood pressure Observing specific body systems while performing the physical assessment Flag : 2Question 21 pts The nurse is assessing an 80-year-old male patient. Which assessment findings would be considered normal? Group of answer choices Increase in body weight from his younger years Additional deposits of fat in the cheeks and forearms Presence of kyphosis and flexion in bilateral knees and hips Change in overall body proportion, including a longer trunk and shorter extremities Flag : 3Question 31 pts In a patient with acromegaly, which assessment finding will the nurse expect to find? Group of answer choices Sternal deformity and hyperextensible joints Growth retardation and a delayed onset of puberty Overgrowth of bone in the face, head, hands, and feet Increased height and weight and delayed sexual development Flag : 4Question 41 pts During an examination, the nurse notices that a female patient has a round “moon” face, central trunk obesity, and a cervical hump. Her skin is fragile with bruises. The nurse determines that the patient likely has which condition? Group of answer choices Gigantism Acromegaly Cushing syndrome Marfan syndrome Flag : 5Question 51 pts The nurse is preparing to measure the length, weight, chest, and head circumference of a 6-month-old infant. Which measurement technique is correct? Group of answer choices Measuring the infant’s length by using a tape measure Weighing the infant by placing him or her on an electronic standing scale Measuring the chest circumference at the nipple line with a tape measure Measuring the head circumference by wrapping the tape measure over the nose and cheekbones Flag : 6Question 61 pts A 60-year-old male patient has been treated for pneumonia for the past 6 weeks. He is seen today in the clinic for an “unexplained” weight loss of 10 pounds over the last 6 weeks. Which is an appropriate rationale for this patient’s weight loss? Group of answer choices Chronic diseases such as hypertension cause weight loss. Weight loss is probably the result of unhealthy eating habits. Unexplained weight loss often accompanies short-term illnesses. Weight loss is probably the result of a mental health dysfunction. Flag : 7Question 71 pts Which of these specific measurements is the best index of a child’s general health? Group of answer choices Body mass index Height and weight Head circumference Chest circumference Flag : 8Question 81 pts When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair. How should the nurse interpret these findings? Group of answer choices Assume that the patient is eager and interested in participating in the interview. Evaluate the patient for abdominal pain, which may be exacerbated in the sitting position. Assume that the patient is having difficulty breathing and assist him to a supine position. Recognize that a tripod position is often used when a patient is having respiratory difficulties. Flag : 9Question 91 pts The nurse is assessing an 8-year-old child whose growth rate measures below the third percentile for a child his age. He appears significantly younger than his stated age and is chubby with infantile facial features. Which condition does this child likely have? Group of answer choices Acromegaly Marfan syndrome Hypopituitary dwarfism Achondroplastic dwarfism Flag : 10Question 101 pts Which of these guidelines should a nurse follow when measuring a patient’s weight? Group of answer choices The patient is always weighed wearing only his or her undergarments. The type of scale does not matter, as long as the weights are similar from day to day. The patient may leave on his or her jacket and shoes as long as these are documented next to the weight. Attempts should be made to weigh the patient at approximately the same time of day, if a sequence of weights is necessary.

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