Author Question: The nurse is performing a head-to-toe assessment. Organize the areas that need to be assessed into ... (Read 26 times)

ghost! · **on:** Jun 25, 2018

The nurse is performing a head-to-toe assessment. Organize the areas that need to be assessed into the order in which the nurse would examine them.

Click on the down arrow for each response in the right column and select the correct choice from the list.
Response 1. Ears and eyes
Response 2. General appearance
Response 3. Respiratory and cardiac systems
Response 4. Neurologic status
Response 5. Abdomen and GI system

Question 2

Which action by the nurse is appropriate when examining an infant's neck?

1. Palpating the trachea
2. Positioning the infant upright on the parent's shoulder
3. Lifting the head and turning it from side to side while the infant is lying supine
4. Documenting the short neck as abnormal for development

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

Answer to Question 1

Correct Answer: 2,4,1,3,5

The nurse would start by performing an assessment of the client's general appearance. Neurologic status would be assessed next, followed by the ears and eyes as part of the neurologic sensory system. The nurse would move to the chest, assessing the cardiac and respiratory system, and then on to the abdomen to assess the gastrointestinal system.

Answer to Question 2

Correct Answer: 3

The infant's neck should be examined while the infant is lying supine, and his head turned from side to side to determine mobility. The infant's neck is normally short, lengthening by about 3 years of age, making palpation of the trachea difficult.