When assessing a patient's general appearance, the nurse should ...

[nautica902]

When assessing a patient's general appearance, the nurse should include which question?
 
  a. Is the patient's muscle strength equal in both arms?
  b. Is ptosis or facial droop present?
  c. Does the patient appropriately respond to questions?
  d. Are the pupils equal in reaction and size?

Question 2

When assessing a patient in the hospital setting, the nurse knows which statement to be true?
 
  a. The patient will need a brief assessment at least every 4 hours.
  b. The patient will need a consistent, specialized examination every 8 hours that focuses on certain parameters.
  c. The patient will need a complete head-to-toe physical examination every 24 hours.
  d. Most patients require a minimal examination each shift unless they are in critical condition.

[hugthug12]

Answer to Question 1

ANS: C
Assessing whether the patient appropriately responds to questions is a component of an assessment of the patient's general appearance. The other answers reflect components of the neurologic examination.

Answer to Question 2

ANS: B
In a hospital setting, the patient does not require a complete head-to-toe physical examination during every 24-hour stay. The patient does, however, require a consistent specialized examination every 8 hours that focuses on certain parameters.

[nautica902]

TYSM

[bulacsom]

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