How to Answer Client Admitted Emergency Questions (Complete Guide)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to client admitted emergency and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves client admitted emergency. A strong answer should include explanation, application, and examples.
Original Question
1. A client is admitted to the emergency department after a motor vehicle accident. The nurse should assess respiratory excursion to determine If crepitus is present in the thorax The degree of chest pain present The degree of chest symmetry If there is internal chest bleeding 2. A nurse is auscultating a client’s breath sounds. Which of these is considered an adventitious breath sound? Medium-pitched blowing sounds that are equal on inspiration and expiration. Soft, low-pitched sounds that are heard in the base of the lungs and are longer on inspiration. High-pitched sounds that are longer on expiration and are over the trachea Loud, low-pitched coarse sounds heard during either inspiration or expiration 3. In assessing a client’s heart sounds, a nurse is observed performing all of these actions. Which action should be discussed with the nurse? The nurse auscultates the chest in the second intercoastal space on the right side first The nurse auscultates the chest with the bell and the diaphragm of the stethoscope The nurse auscultates the chest with the client in the sitting and supine positions The nurse auscultates one precordial site on the chest. 4. A nurse is observed assessing the range of motion of a client’s neck. Which action should be discussed with the nurse? . Asking the client to touch the chin to the chest . Asking the client to extend the head forward and backward. . Asking the client to elevate the shoulders to touch the ears. . Asking the client to turn the head to the right and left. 5. A nurse assesses a client’s neck, for thyroid enlargement. Which of these techniques indicates that the nurse is performing the assessment correctly? . The nurse has the client hyperextend his neck to relax the muscles as the thyroid is palpated. . The nurse has the client take a sip of water and swallow as the thyroid is observed. . The nurse tells the client to hold his breath as the thyroid is percussed. . The nurse places the stethoscope’s diaphragm over the lateral lobe of the thyroid and listens. 6. A nurse plans to assess the skin temperature of a client while performing a physical assessment. The nurse should palpate the client’s skin using the nurse’s Palmar surface of the hand Finger tips of the middle three finger Finger tips of all five fingers Dorsal surface of the hand 7. A nurse notes that a client has developed a wheal-like rash on the trunk about one hour after beginning a new medication. Based on this observation, the nurse should instruct the client to . stop taking the medication and notify the physician . taper the amount of medication to be taken gradually and document the new time schedule . take one half of the medication dose and monitor the response . continue taking the medication as ordered 8. In assessing capillary refill in a client’s fingernails, the nurse notes that the color returns to the nail bed after five seconds. This finding indicates the client’s peripheral circulation is Sluggish Absent Adequate Increased 9. During an initial clinic interview with a client, the nurse performs a physical systems review. The nurse should know that the purpose of the review of systems is to be certain that Every possible question has been asked Data are compared to norms. No significant information has been omitted Data from laboratory tests are compared to assessment data. 10. A nurse performed an assessment on a client that included the history, physical examination, and laboratory tests? Which of these findings are documented in the correct method for SOAP documentation? Plan: Bed rest for three days Subjective: Romberg test able to balance 20 seconds Objective: Complains of right side weakness for a day Analysis “Blurred vision for two days”
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