A registered nurse is preparing to perform a physical examination ...

[Arii_bell]

A registered nurse is preparing to perform a physical examination on a 5-year-old child. To make the child feel safer during the examination the nurse should do which of the following?
 
  a. Examine the child's fingernails before listening to his breath sounds.
  b. Question only the child so as to avoid unwanted parental influence.
  c. Perform palpation before visual inspection.
  d. Calls the parents by their first names to establish a more trusting bond.

Question 2

A nurse is preparing to perform a physical examination on a patient who has mobility issues. In preparing for the examination, the nurse should do which of the following?
 
  a. Be sure that a well-equipped examination room is available.
  b. Tune the radio to the nurse's favorite station to relax the patient.
  c. Perform thorough hand hygiene before preparing equipment.
  d. Instruct the patient on the safest way to transfer onto the examination table.

[fatboyy09]

Answer to Question 1

A
Children will feel safer during an examination if it is initiated from the periphery and then moves to the central. For example, examine the extremities before moving to the chest. It also helps to perform parts of the examination that you can do visually before actually touching the child. When obtaining histories of infants and children, gather all or part of the information from parents or guardians. Call children by their preferred name, and address parents formally (e.g., as Mr. and Mrs. Brown) rather than by first names.

Answer to Question 2

C
Perform hand hygiene before equipment preparation and the examination. A well-equipped examination room is preferable, but often the examination occurs in the patient's room. In the home you may perform the examination in the patient's bedroom. Be sure to eliminate other sources of noise, take precautions to prevent interruptions, and make sure the room is warm enough to maintain comfort. Patients with mobility impairments require safe transfer to an examination table. The patient is the expert and should be asked how to safely move from the bed to the table, either with a standing assisted transfer or by being lifted, as with a child or small adult.

[Arii_bell]

Excellent

[yeungji]

TYSM