Author Question: The purpose of the physical assessment is to: (Select all that apply.) a. compare the patient's ... (Read 104 times)

vicotolentino · **on:** Jun 25, 2018

The purpose of the physical assessment is to:

(Select all that apply.)
a. compare the patient's status with previous findings.
b. help the nurse gather additional data.
c. help select the best nursing measures.
d. teach patients about better health promotion.

Question 2

A nurse encourages a patient to prevent venous stasis by:

a. crossing the legs when sitting in a chair.
b. wearing thigh-length nylon stockings or garters.
c. elevating the legs on pillows while in bed.
d. increasing early ambulation.

janeli · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

A, B, C, D
In acute care settings, you perform a brief physical assessment at the beginning of each shift to identify changes in the patient's status for comparison with the previous assessment. After gathering data, the nurse groups significant findings into patterns of data that reveal actual or risk nursing diagnoses. Each abnormal finding directs the nurse to gather additional data. The information is useful in selecting the best nursing measures to manage the patient's health problems. During the physical assessment is an ideal time to offer patient teaching and encourage promotion of health practices, such as breast and genital self-examination.

Answer to Question 2

D
Prevention is the best method to reduce the risk for deep vein thrombosis (DVT) secondary to immobility. Early ambulation remains the most effective preventive measure. Discourage patients from activities that promote venous stasis (e.g., crossing legs, wearing garters, elevating legs on pillows).