Nokea
A health care provider needs to assess a patient's rectal area. In what position should the nurse place the patient?
- A. Sims
- B. Prone
- C. Lithotomy
- D. Knee-chest
Correct Answer: D
Rationale: Knee-chest position provides maximum exposure of the rectal area.
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A health care provider needs to assess a patient for a heart murmur. In what position should the nurse place the patient?
- A. Sims
- B. Prone
- C. Lithotomy
- D. Lateral recumbent
Correct Answer: D
Rationale: The lateral recumbent position aids in detecting heart murmurs.
During a physical assessment the nurse notes that a patient has bright red blood in the feces. What does the nurse recognize as the most likely cause of this bleeding?
- A. Bleeding in the upper intestinal tract
- B. Bleeding in the lower intestinal tract
- C. Bleeding in the entire intestinal tract
- D. Consumption of cranberry juice
Correct Answer: B
Rationale: Bright red blood in the feces indicates active bleeding from the lower portion of the intestinal tract.
An abnormal condition in which the heart contracts regularly but at a rate greater than 100 beats/min is known as ____.
Correct Answer: tachycardia
Rationale: Tachycardia is an abnormal condition in which the heart contracts regularly but at a rate greater than 100 beats/min.
The nurse is discussing the origin of diabetes with a diabetic patient. What will the nurse discuss as the most appropriate explanation for the cause of this disease?
- A. Pituitary
- B. Adrenals
- C. Pancreas
- D. Thyroid
Correct Answer: C
Rationale: Diabetes mellitus results from dysfunction of the pancreas.
The nurse is assessing a patient for collection of subjective and objective data. What will this data provide the basis for making?
- A. Care plan
- B. Medical diagnosis
- C. Nursing assessment
- D. Patient problem
Correct Answer: D
Rationale: Nurses rely on assessment of signs and symptoms to formulate a patient problem.