Author Question: The nurse is planning a physical examination of a client following a head-to-toe format. In which ... (Read 31 times)

fnuegbu · **on:** Jul 23, 2018

The nurse is planning a physical examination of a client following a head-to-toe format. In which order should the nurse conduct this assessment?

1. Head, upper extremities, abdomen, lower extremities.
2. Neck, head, vital signs, chest and back.
3. Lower extremities, abdomen, upper extremities, chest and back.
4. Head, neck, lower extremities, abdomen.

Question 2

The nurse is assessing the nose and sinuses of a client. Which findings would be considered normal?

1. Nose straight.
2. Nares symmetrical.
3. No tenderness over the bridge.
4. Air movement is restricted in one nare.
5. Clear drainage from one nare.

cici · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: When conducting a physical examination from head to toe, the nurse would start with the head, move down to the upper extremities, then to the abdomen, and finally the lower extremities.
Rationale 2: The neck should not be examined before the head. Vital signs are assessed before the head is examined.
Rationale 3: The lower extremities and abdomen would not be assessed before the upper extremities or the chest and back.
Rationale 4: The lower extremities would not be assessed before the abdomen.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: A straight nose is a normal finding.
Rationale 2: Symmetrical nares are a normal finding.
Rationale 3: No tenderness over the nose bridge is a normal finding.
Rationale 4: Air movement restricted in one nare is an abnormal finding.
Rationale 5: Clear drainage from one nare is an abnormal finding.