Having misplaced his stethoscope, a nurse borrows a colleague's stethoscope. He next enters the patient's room and identifies himself, washes his hands with soap, and states the purpose of his visit.
He performs proper identification of the patient before he auscultates her lungs. Which critical health assessment step was not performed?
a. Running warm water over stethoscope for patient comfort
b. Cleaning stethoscope with Betadine
c. Using alcohol-based hand disinfectant
d. Cleaning stethoscope with alcohol
Question 2
A nurse is a preceptor for a nurse who just graduated from nursing school. When caring for a patient, the new graduate nurse begins to explain to the patient the purpose of completing a physical assessment.
Which of the following statements made by the new graduate nurse requires the preceptor to intervene?
a. I will use the information from my assessment to figure out if your antihypertensive medication is working effectively.
b. Nursing assessment data are used only to provide information about the effectiveness of your medical care.
c. Nurses use data from their patient's physical assessment to determine a patient's educational needs.
d. Information gained from physical assessment helps nurses better understand their patients' emotional needs.
Question 3
When recording the patient's respiratory status, what must be recorded? (Select all that apply.)
a. Respiratory rate
b. Character of respirations
c. Amount of oxygen therapy
d. Only normal findings
e. Only in the graphic section
The nurse needs to note the source of the patient health history
A parish nurse checks the blood pressure of a church member
A nurse prepares a client for anesthesia and surgery.
Auscultation. The stethoscope is pressed against the body wall to listen for sound waves associated
nurse
Positioning of bell of stethoscope