The nurse is performing a health assessment and notes a yellow ...

[mcmcdaniel]

The nurse is performing a health assessment and notes a yellow tinge to the sclera of the eye. The nurse would document this as being:
 
  1. Cyanosis
  2. Jaundice
  3. Pallor
  4. Erythema

Question 2

The nurse is preparing to perform a health assessment of the abdomen. What is the correct order to perform the assessment?
 
  1. Auscultate, percuss, palpate, inspect
  2. Inspect, auscultate, palpate, percuss
  3. Inspect, auscultate, percuss, palpate
  4. Palpate, percuss, auscultate, inspect

Question 3

When documenting a client's axillary temperature on the graphic sheet, how should the nurse identify the method of assessing the temperature?
 
  1. AX.
  2. O.
  3. R.
  4. SL.

[kxciann]

Answer to Question 1

Correct Answer: 2
Rationale 1: Cyanosis is a bluish color to the skin, mucous membranes, or nails.
Rationale 2: Jaundice is a yellow tinge that is abnormal and is often noticed in the sclera of the eye.
Rationale 3: Pallor is a term used to describe paleness.
Rationale 4: Erythema is a term used to describe redness.

Answer to Question 2

Props to you, cheers.

Answer to Question 3

Correct Answer: 1
Rationale 1: When documenting the temperature in the client record, an axillary temperature should be recorded with an AX.
Rationale 2: The letter O is not used when documenting a client's temperature.
Rationale 3: The letter R would indicate a rectal temperature and not an axillary temperature.
Rationale 4: The letters SL are not used when documenting a client's temperature.

[mcmcdaniel]

Gracias!

[tandmlomax84]

Thanks for the timely response, appreciate it